FALLBROOK ASSISTED LIVING, LLC (NPI# 1255802468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255802468 |
| Entity Type | Organization |
| Organization Name | FALLBROOK ASSISTED LIVING, LLC |
| Practice Address |
6600 Juliet Court Lincoln NE 68521 |
| Practice Telephone | 4022619050 |
| Mailing Telephone | 4022619050 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | JASON LANGE (MEMBER) |
| Authorized Official Telephone | 4029600376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Fallbrook Assisted Living and Memory Care | Doing Business As Name - Organization |
| Street Address |
6600 JULIET COURT |
| City | LINCOLN |
| State | NE |
| Zip Code | 68521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093168056 | Alyssa Cattle | Dentist | 1649 La Plata Court, Lincoln, NE 68521 | 2016-07-14 |
| 1831538131 | Angela Jo Curran | Nurse Practitioner | 1411 Superior St, Lincoln, NE 68521 | 2013-06-19 |
| 1093089401 | Nancy L Dostal | Pharmacist | 1404 Superiort St., Lincoln, NE 68521 | 2012-03-02 |
| 1225274301 | Nicole Ann Ford | Dietitian, Registered | 5020 N. 27th St, Hy-vee, Lincoln, NE 68521 | 2008-12-19 |
| 1972769685 | Concentra Health Services, Inc. | Clinic/Center | 4900 N 26th Street, #104, Lincoln, NE 68521 | 2008-08-01 |
| 1649446261 | Megan Kristin Classen | Occupational Therapist | 5000 N 26th St Ste 400, Lincoln, NE 68521 | 2008-05-03 |
| 1720278526 | David Bruce Hilsabeck | Counselor | 6109 Nw 9th St, Lincoln, NE 68521 | 2007-07-27 |
| 1871648386 | Douglas C Rienks | Optometrist | 2550 Superior Street, Suite 150, Lincoln, NE 68521 | 2007-01-24 |
| 1518014869 | Carol J Niemann | Counselor | 4000 N 23erd St., Lincoln, NE 68521 | 2007-01-05 |
| 1497867493 | D & S Pharmacy Inc | Pharmacy | 2555 Kensington Dr, Lincoln, NE 68521 | 2006-08-31 |
| Find all providers in zip 68521 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1114267739 | David Kniola Crnp LLC | Assisted Living Facility | 825 Woods Ferry Rd, Lincoln, AL 35096-5874 | 2013-02-19 |
| 1205187069 | Lincoln Countryhouse LLC | Assisted Living Facility | 5720 S 25th St, Lincoln, NE 68512-2000 | 2012-09-19 |
| 1053695965 | Legacy Terrace II, Lp | Assisted Living Facility | 3777 N 58th St, Lincoln, NE 68507-1658 | 2011-10-11 |
| 1154601078 | Haven Manor Assisted Living Plus | Assisted Living Facility | 4800 S 48th St, College View North, Lincoln, NE 68516-1216 | 2011-08-23 |
| 1659663870 | Tabitha Inc | Assisted Living Facility | 4620 Randolph St, Lincoln, NE 68510-3739 | 2011-05-05 |
| 1275830937 | Lincoln Bickford Cottage | Assisted Living Facility | 4451 Old Cheney Rd, Lincoln, NE 68516-2821 | 2011-02-16 |
| 1124323126 | Havelock Manor. | Assisted Living Facility | 6330 Platte Ave, Lincoln, NE 68507-1349 | 2011-01-21 |
| 1548565948 | Orchard Park,inc. | Assisted Living Facility | 3110 S 48th St, Lincoln, NE 68506-3353 | 2011-01-14 |
| Find all providers in LINCOLN | ||||
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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.