CSL MIRACLE HILLS LLC NPI 1487966537

NPI Information

  • NPI: 1487966537
  • Provider Name: CSL MIRACLE HILLS, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: THE WATERFORD AT MIRACLE HILLS
  • Address: 11909 MIRACLE HILLS DR
    OMAHA, NE
    ZIP 68154
  • Phone: (402) 431-0011

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NPI Details

CSL MIRACLE HILLS, LLC is an assisted living facility in Omaha, NE. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CSL MIRACLE HILLS, LLC NPI is 1487966537. The provider is registered as an organization entity type.
The provider Is Doing Business As The Waterford At Miracle Hills.

The provider's business location address is:

11909 MIRACLE HILLS DR
OMAHA, NE
ZIP 68154
Phone: (402) 431-0011
Fax: (402) 431-9257

The provider's authorized official is Gloria Holland .
The authorized official title is Vp-finance and has the following contact phone number (972) 770-5600.

The enumeration date for this NPI number is 7/6/2010 and was last updated on 7/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityALF156NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100258495-00MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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