FAIRBURY ASSISTED LIVING FACILITY (NPI# 1134412992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134412992 |
| Entity Type | Organization |
| Organization Name | FAIRBURY ASSISTED LIVING FACILITY |
| Other Organization Name | CEDARWOOD ASSISTED LIVING FACILITY |
| Practice Address |
828 22nd St Fairbury NE 68352-1202 |
| Practice Telephone | 4027293351 |
| Practice Fax Number | 4027292102 |
| Mailing Telephone | 4027293351 |
| Mailing Fax Number | 4027292102 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |
| Authorized Official Name | MR. CHAD JURGENS (SECRETARY) |
| Authorized Official Telephone | 4027293351 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALF281 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100250579-00 | 05 |
| Other Name | Type Code |
|---|---|
| Cedarwood Assisted Living Facility | Doing Business As Name - Organization |
| Street Address |
828 22ND ST |
| City | FAIRBURY |
| State | NE |
| Zip Code | 68352-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205908308 | Brenda S Rippe | Case Manager/Care Coordinator | 521 E Street, Fairbury, NE 68352 | 2006-11-14 |
| 1821015884 | Tatro Chiropractic PC | Chiropractor | 425 D St, Fairbury, NE 68352 | 2006-07-16 |
| 1013031178 | Prairie View Industries, Inc. | Durable Medical Equipment & Medical Supplies | 2620 Industrial Drive, Fairbury, NE 68352-0575 | 2007-03-16 |
| 1881611986 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2831 Highway 15, Fairbury, NE 68352-1008 | 2006-07-16 |
| 1336748862 | Danielle Nicole Blackburn | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2020-10-26 |
| 1396259560 | Kayla Renee Specht | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-27 |
| 1710491394 | Michael Gude | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-19 |
| 1861435448 | Gary Lee Mitchell | Pharmacist | 2200 H St, Fairbury, NE 68352-1119 | 2006-06-13 |
| 1063050532 | Kensly N Williams | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2019-12-16 |
| 1285141135 | Tyler Maguire | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2018-01-01 |
| Find all providers in zip 68352 | ||||
| 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 |
|---|---|---|---|---|
| 1407477326 | Fsl Mccook Ne Tenant LLC | Assisted Living Facility | 1500 E 11th St, Mc Cook, NE 69001-3489 | 2020-05-01 |
| 1467096446 | The Heritage At Sagewood Operating, LLC | Assisted Living Facility | 1920 Sagewood Ave, Grand Island, NE 68803-1585 | 2019-11-01 |
| 1720640980 | Whispering Winds Cottage, LLC | Assisted Living Facility | 628 N 33rd St, Beatrice, NE 68310-3306 | 2019-07-08 |
| 1275091308 | Oneill Sl Inc | Assisted Living Facility | 1203 E Hynes Ave, Oneill, NE 68763-1451 | 2019-03-07 |
| 1568929263 | Pemberly Place Management, LLC | Assisted Living Facility | 7655 Archer Pl, Lincoln, NE 68516-5286 | 2019-02-28 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1255802468 | Fallbrook Assisted Living, LLC | Assisted Living Facility | 6600 Juliet Court, Lincoln, NE 68521 | 2018-12-16 |
| 1417431859 | Pawnee City Assisted Living Inc. | Assisted Living Facility | 330 12th St., Pawnee City, NE 68420-0463 | 2018-09-21 |
| 1922586858 | Aksarben Village Senior Living | Assisted Living Facility | 1330 S 70th St, Omaha, NE 68106-2256 | 2018-08-02 |
| 1629560446 | Vsl Alliance Assisted Living LLC | Assisted Living Facility | 150 W 24th St, Alliance, NE 69301 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
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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.