GAHC3 OMAHA NE ALF TRS SUB, LLC (NPI# 1003296732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003296732 |
| Entity Type | Organization |
| Organization Name | GAHC3 OMAHA NE ALF TRS SUB, LLC |
| Other Organization Name | FOUNTAIN VIEW ASSISTED LIVING AND SPECIAL MEMORY CARE |
| Practice Address |
5710 S 108th St Omaha NE 68137-3592 |
| Practice Telephone | 4025969033 |
| Mailing Telephone | 4025969033 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | DANNY PROSKY (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 9492709200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100253886-00 | 05 |
| Other Name | Type Code |
|---|---|
| Fountain View Assisted Living and Special Memory Care | Doing Business As Name - Organization |
| Street Address |
5710 S 108TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68137-3592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760780936 | Silvercrest Fountain View Independent, Lp | Alzheimer Center (Dementia Center) | 5710 S 108th St, Omaha, NE 68137-3592 | 2011-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1326567686 | Lachelle Zuhlke | Psychologist | 5606 S. 147th Street, Omaha, NE 68137 | 2017-09-18 |
| 1043739766 | Rachel Miller | Registered Nurse | 5606 S. 147th St, Omaha, NE 68137 | 2017-09-13 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1790153617 | Answers for Autism, LLC | Community/Behavioral Health | 6424 S 150th St., Omaha, NE 68137 | 2015-09-09 |
| 1912382383 | Rocky Mountain Holdings, LLC | Ambulance | 12916 Millard Airport Plz, Omaha, NE 68137 | 2015-07-27 |
| Find all providers in zip 68137 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922586858 | Aksarben Village Senior Living | Assisted Living Facility | 1330 S 70th St, Omaha, NE 68106-2256 | 2018-08-02 |
| 1053858712 | Winzetta Perry | Assisted Living Facility | 2509 Spencer St, Omaha, NE 68111-3247 | 2017-01-19 |
| 1194279067 | Esprit of Whispering Ridge | Assisted Living Facility | 17555 Emmet St, Omaha, NE 68116-1129 | 2016-08-09 |
| 1821372046 | Omaha I Bickford Cottage, L.L.C. | Assisted Living Facility | 11308 Blondo St, Omaha, NE 68164-3822 | 2011-10-06 |
| 1659655876 | Omaha II Bickford Cottage, L.L.C. | Assisted Living Facility | 7337 Hickory St, Omaha, NE 68124-1677 | 2011-10-06 |
| 1538452362 | Heritage Pointe Assisted Living & Memory Support | Assisted Living Facility | 16811 Burdette St, Omaha, NE 68116-2776 | 2011-05-26 |
| 1437440518 | Fushion Medical | Assisted Living Facility | 15349 Davenport Cir, Omaha, NE 68154-2043 | 2011-04-25 |
| 1568751063 | Southview Heights | Assisted Living Facility | 5110 S 49th St, Omaha, NE 68117-2159 | 2011-04-05 |
| 1073812723 | Parsons House On Eagle Run | Assisted Living Facility | 14325 Eagle Run Dr, Omaha, NE 68164-5435 | 2011-03-21 |
| 1336446350 | Immanuel Affordable II Inc. | Assisted Living Facility | 6759 Newport Ave Ste 100, Omaha, NE 68152-2159 | 2011-02-28 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.