ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM (NPI# 1396969499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396969499 |
| Entity Type | Organization |
| Organization Name | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM |
| Other Organization Name | LASTING HOPE RECOVERY CENTER |
| Practice Address |
415 S 25th Ave Omaha NE 68131-3654 |
| Mailing Address |
Po Box 776199 Chicago IL 60677-6199 |
| Practice Telephone | 4027175300 |
| Practice Fax Number | 4027171097 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-06-14 |
| Authorized Official Name | CLIFF A ROBERTSON (CEO - CHI HEALTH) |
| Authorized Official Telephone | 4023434420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | H000110 | NE | Hospital Units |
| Other Name | Type Code |
|---|---|
| Lasting Hope Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336382530 | Alegent Health Bergan Mercy Health System | Home Health | 703 Rosary Dr, Corning, IA 50841-1685 | 2009-04-17 |
| 1346438041 | Alegent Health Bergan Mercy Health System | Durable Medical Equipment & Medical Supplies | 7710 Mercy Rd Ste 105, Omaha, NE 68124-2372 | 2007-10-09 |
| 1871665372 | Alegent Health Bergan Mercy Health System | Psychiatric Residential Treatment Facility | 359 Indian Hills Dr, Glenwood, IA 51534-1953 | 2006-11-14 |
| 1629147418 | Alegent Health Bergan Mercy Health System | Durable Medical Equipment & Medical Supplies | 5428 F St, Omaha, NE 68117-2815 | 2006-11-07 |
| 1932278728 | Alegent Health Bergan Mercy Health System | Hospice Care, Community Based | 7415 Cedar St, Omaha, NE 68124-2367 | 2006-11-07 |
| 1982773776 | Alegent Health Bergan Mercy Health System | Dietitian, Registered | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2006-11-07 |
| 1770664245 | Alegent Health Bergan Mercy Health System | Home Health | 810 N 96th St Ste 201, Omaha, NE 68114-2767 | 2006-10-18 |
| 1841611654 | Alegent Health Bergan Mercy Health System | Counselor | 7710 Mercy Rd, Suite 303, Omaha, NE 68124-2372 | 2013-12-20 |
| 1770854663 | Alegent Health Bergan Mercy Health System | Internal Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-01-24 |
| 1942433701 | Alegent Health Bergan Mercy Health System | Clinic/Center | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2009-08-27 |
| Street Address |
415 S 25TH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851801997 | Alexandra King Taylor | Nurse Practitioner | 415 S 25th Ave, Omaha, NE 68131-3630 | 2017-10-03 |
| 1881057156 | Chloe Olson | Psychiatry & Neurology | 415 S 25th Ave, Omaha, NE 68131-3630 | 2016-04-03 |
| 1679933725 | Kelli Jo Thompson | Counselor | 415 S 25th Ave, Omaha, NE 68131-3630 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386712925 | Nebraska Medical Center | Psychiatric Unit | 987400 Nebraska Medical Ctr Fl 7, 7th Floor Uh (7psy), Omaha, NE 68198-7400 | 2006-12-01 |
| 1427283795 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2009-05-15 |
| 1518091230 | Children's Hospital | Psychiatric Unit | 8200 Dodge St, Children's Hospital - Eating Disorders Program, Omaha, NE 68114-4113 | 2007-03-15 |
| 1326126509 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073599189 | Crane River Clinic | Psychiatric Unit | 3280 Woodridge Blvd, Suite 260, Grand Island, NE 68801-7481 | 2005-12-20 |
| 1144709122 | Methodist Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
| 1720441074 | Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2016-04-04 |
| 1457745119 | Fillmore County Hospital | Psychiatric Unit | 1900 F St, Geneva, NE 68361-2229 | 2015-03-20 |
| 1134216773 | Bryan Medical Center | Psychiatric Unit | 2300 S 16th St, Lincoln, NE 68502-3780 | 2006-10-06 |
| 1568570745 | The Mary Lanning Memorial Hospital Association | Psychiatric Unit | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 | 2006-08-28 |
| 1871606137 | Regional West Medical Center | Psychiatric Unit | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2006-08-17 |
| 1114942869 | Good Samaritan Hospital | Psychiatric Unit | 1755 Prairie View Pl, Kearney, NE 68845-8300 | 2006-07-13 |
| 1336184019 | Good Samaritan Hospital | Psychiatric Unit | 10 E 31st St, Box 1990, Kearney, NE 68847-2926 | 2006-06-18 |
| 1285676544 | Faith Regional Health Services | Psychiatric Unit | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM.
| 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.