Hillcrest Shadow Lake Llc

LBN: Hillcrest Shadow Lake Llc
Hillcrest Shadow Lake Llc is an health care organization with primary practice located at 1507 E Gold Coast Rd , Papillion NE 68046-4722. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Hillcrest Shadow Lake Llc can be contacted via phone (402) 682-4800, or through Roberts, Jolene via phone (402) 682-4800.

Contact Information

Primary practice address
1507 E Gold Coast Rd Papillion NE 68046-4722
Phone: (402) 682-4800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Jolene
Phone: (402) 682-4800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1871949024
LBN Legal business name Hillcrest Shadow Lake Llc
DBA Doing business as
Authorized official Roberts, Jolene
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2016
Last updated Jan 25th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871949024 NPPES
Nebraska MEDICAID 10026587800

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