SL NORFOLK, LLC (NPI# 1245604024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245604024 |
| Entity Type | Organization |
| Organization Name | SL NORFOLK, LLC |
| Other Organization Name | MADISON HOUSE |
| Practice Address |
1120 N 1st St Norfolk NE 68701-0904 |
| Practice Telephone | 4026444567 |
| Practice Fax Number | 4026448111 |
| Mailing Telephone | 4026444567 |
| Mailing Fax Number | 4026448111 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | JOCELYN BORUCH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4026444567 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALF103 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Madison House | Doing Business As Name - Organization |
| Street Address |
1120 N 1ST ST |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-0904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| 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 |
|---|---|---|---|---|
| 1043642044 | People Helping All People | Assisted Living Facility | 3182 N Stonebridge Dr, Norfolk, VA 23504-4093 | 2013-08-01 |
| 1497196901 | Patricia Ann Richardson | Assisted Living Facility | 101 East Plume Street, 501, Norfolk, VA 23510 | 2013-07-12 |
| 1144593161 | Ggsnc Norfolk Valley View LLC | Assisted Living Facility | 1824 Vicki Ln, Norfolk, NE 68701-4621 | 2012-02-22 |
| 1700173002 | Mcmeadows LLC | Assisted Living Facility | 500 S 18th St, Norfolk, NE 68701-4543 | 2011-07-07 |
| 1295998458 | Province Place | Assisted Living Facility | 6403 Granby St, Norfolk, VA 23505-4447 | 2008-07-08 |
| 1528255841 | Assisted Living Concepts Inc | Assisted Living Facility | 1120 North 1st Street, Norfolk, NE 68701 | 2007-10-01 |
| 1043356454 | Westminster-canterbury of Hampton Roads, Inc. | Assisted Living Facility | 7211 Granby St, Norfolk, VA 23505-4001 | 2007-01-30 |
| 1972608248 | Faith Regional Health Services | Assisted Living Facility | 401 N 18th St, Norfolk, NE 68701-3686 | 2006-09-13 |
| 1104809631 | Thornton Hall, Inc. | Assisted Living Facility | 827 Norview Ave, Norfolk, VA 23509-1540 | 2005-11-29 |
| 1528059748 | Sentara Life Care Corporation | Assisted Living Facility | 251 S Newtown Rd, Norfolk, VA 23502-5718 | 2005-11-04 |
| Find all providers in NORFOLK | ||||
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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.