KINGSWOOD COURT ASSISTED LIVING, LLC (NPI# 1154702611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154702611 |
| Entity Type | Organization |
| Organization Name | KINGSWOOD COURT ASSISTED LIVING, LLC |
| Other Organization Name | DBA KINGSWOOD COURT |
| Practice Address |
1005 Idaho St Superior NE 68978-1103 |
| Practice Telephone | 4022071050 |
| Practice Fax Number | 4022071052 |
| Mailing Telephone | 4022071050 |
| Mailing Fax Number | 4022071052 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | MRS. MICHELLE ANN SORSEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4027596208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALF353 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| dba Caring Friends In Home Care | Doing Business As Name - Organization |
| DBA Kingswood Court | Doing Business As Name - Organization |
| Street Address |
1005 IDAHO ST |
| City | SUPERIOR |
| State | NE |
| Zip Code | 68978-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144475740 | Superior Vision PC | Eyewear Supplier (Equipment, not the service) | 358 Central Ave, Superior, NE 68978 | 2008-11-24 |
| 1427234160 | Elinor Lynn Wilton | Speech-Language Pathologist | 4034 Road C, Superior, NE 68978 | 2008-01-11 |
| 1780720904 | Sharon Greenwood | Counselor | 344 North Dakota, Superior, NE 68978 | 2007-01-29 |
| 1780776583 | South Central Behavioral Services | Clinic/Center | 520 East 10th Street, Broadstone Memorial Hospital, Superior, NE 68978 | 2006-09-29 |
| 1780804112 | Terry Dale Kermoade | Pharmacist | 520 East 10th Street, Superior, NE 68978 | 2007-04-26 |
| 1033288097 | Peggy Ann Meyer | Counselor | 520 E 10th St, Superior, NE 68978 | 2006-11-06 |
| 1013024215 | Steve Abe Fox | Nurse Anesthetist, Certified Registered | 1324 Montana St, Superior, NE 68978-1038 | 2006-08-24 |
| 1790777936 | Timothy Blecha | Specialist | 525 E 11th St, Superior, NE 68978-1101 | 2005-08-15 |
| 1568756609 | Alisha Fangmeyer | Nurse Practitioner | 525 E 11th St, Superior, NE 68978-1101 | 2011-06-07 |
| 1245552140 | Matthew Gatlin | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2010-02-18 |
| Find all providers in zip 68978 | ||||
| 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 |
|---|---|---|---|---|
| 1679838007 | Superior Ops, LLC | Assisted Living Facility | 1915 N 34th St, Superior, WI 54880-5575 | 2012-07-11 |
| 1902948482 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 1160 Sunrise St, Superior, NE 68978-2344 | 2007-02-13 |
| 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 |
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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.