VSL GRAND ISLAND LLC (NPI# 1326578956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326578956 |
| Entity Type | Organization |
| Organization Name | VSL GRAND ISLAND LLC |
| Other Organization Name | TIFFANY SQUARE |
| Practice Address |
3119 W Faidley Ave Grand Island NE 68803-4114 |
| Mailing Address |
20220 Harney St Elkhorn NE 68022-2063 |
| Practice Telephone | 3083842333 |
| Practice Fax Number | 3083843620 |
| Mailing Telephone | 4028856120 |
| Mailing Fax Number | 4028958165 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | JACK D VETTER (CEO) |
| Authorized Official Telephone | 4028953932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 374006 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | FACILITY LICENSE | 374006 | 01 |
| Other Name | Type Code |
|---|---|
| Tiffany Square | Doing Business As Name - Organization |
| Street Address |
3119 W FAIDLEY AVE |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003924929 | Grand Island Health Care Inc | Skilled Nursing Facility | 3119 W Faidley Ave, Grand Island, NE 68803-4114 | 2006-08-29 |
| 1699386854 | Michaela E Goosic | Physical Therapy Assistant | 3119 W Faidley Ave, Grand Island, NE 68803-4199 | 2020-08-12 |
| 1295345791 | Annalee Bamesberger | Physical Therapy Assistant | 3119 W Faidley Ave, Grand Island, NE 68803 | 2020-08-09 |
| 1578172185 | Elizabeth Holmes | Physical Therapy Assistant | 3119 W Faidley Ave, Grand Island, NE 68803-4114 | 2020-07-29 |
| 1467919738 | The Mary Lanning Hospital Association | Hospice Care, Community Based | 3119 W Faidley Ave, Grand Island, NE 68803-4114 | 2019-02-22 |
| 1407372287 | Jordyn Elizabeth Penner | Occupational Therapy Assistant | 3119 W Faidley Ave, Grand Island, NE 68803-4114 | 2017-08-14 |
| 1912362187 | Angela Myers | Speech-Language Pathologist | 3119 W Faidley Ave, Grand Island, NE 68803-4199 | 2015-12-15 |
| 1811393895 | Marcie Ross | Physical Therapy Assistant | 3119 W Faidley Ave, Grand Island, NE 68803-4114 | 2014-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841520723 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 4075 Timberline St, Grand Island, NE 68803-6553 | 2009-12-28 |
| 1306967815 | Bonnie Jean King | Skilled Nursing Facility | 800 Stoger Drive, Wedgewood Care Center, Grand Island, NE 68803 | 2007-04-02 |
| 1003924929 | Grand Island Health Care Inc | Skilled Nursing Facility | 3119 W Faidley Ave, Grand Island, NE 68803-4114 | 2006-08-29 |
| 1164478632 | Five Star Quality Care-ne LLC | Skilled Nursing Facility | 800 Stoeger Dr, Grand Island, NE 68803-4404 | 2006-05-26 |
| 1962454371 | Ggnsc Grand Island Lakeview LLC | Skilled Nursing Facility | 1405 W Us Highway 34, Grand Island, NE 68801-8823 | 2006-05-16 |
| 1740231042 | Ggnsc Grand Island Park Place LLC | Skilled Nursing Facility | 611 N Darr Ave, Grand Island, NE 68803-4637 | 2006-05-12 |
| 1629049614 | Saint Francis Medical Center | Skilled Nursing Facility | 2116 W Faidley Ave, Grand Island, NE 68803-4645 | 2006-01-30 |
| 1679575211 | Riverwood Health Care Center, Inc. | Skilled Nursing Facility | 2850 Grand Island Blvd, Grand Island, NY 14072-1251 | 2005-08-12 |
| 1750942165 | Bcp Grand Island, LLC | Skilled Nursing Facility | 800 Stoeger Dr, Grand Island, NE 68803-4404 | 2019-06-26 |
| 1346702057 | Grand Island Lakeview Operations LLC | Skilled Nursing Facility | 1405 W Us Highway 34, Grand Island, NE 68801-8823 | 2019-04-02 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on VSL GRAND ISLAND LLC.
| 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.