DELMAR GARDENS OF OMAHA, LLC (NPI# 1417942277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417942277 |
| Entity Type | Organization |
| Organization Name | DELMAR GARDENS OF OMAHA, LLC |
| Other Organization Name | ST. JOSEPH VILLA |
| Practice Address |
2305 S 10th St Omaha NE 68108-1108 |
| Mailing Address |
14805 N Outer 40 Rd Suite 300 Chesterfield MO 63017-6060 |
| Practice Telephone | 4023455683 |
| Practice Fax Number | 4023451817 |
| Mailing Telephone | 6367337000 |
| Mailing Fax Number | 6367337010 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | MR. GAIL LEE HARTMANN (TREASURER) |
| Authorized Official Telephone | 6367337000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 264017 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100252596-00 | 05 |
| Other Name | Type Code |
|---|---|
| St. Joseph Villa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477525 | Delmar Gardens of Omaha, LLC | Home Health | 1000 N 90th St, Omaha, NE 68114-2764 | 2005-09-16 |
| 1790771301 | Delmar Gardens of Omaha, LLC | Hospice Care, Community Based | 1000 N 90th St, Suite 203, Omaha, NE 68114-2764 | 2005-09-20 |
| Street Address |
2305 S 10TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68108-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044636 | Jaime Abramson | Occupational Therapist | 2305 S 10th St, Omaha, NE 68108-1108 | 2019-10-14 |
| 1710445895 | Thomas Lee | Physical Therapist | 2305 S 10th St, Omaha, NE 68108-1108 | 2019-03-07 |
| 1710444104 | Alisia Rivera | Physical Therapist | 2305 S 10th St, Omaha, NE 68108-1108 | 2019-02-21 |
| 1538516075 | Andrew Menigoz | Physical Therapist | 2305 S 10th St, Omaha, NE 68108-1108 | 2016-05-14 |
| 1952757049 | Hannah Waller | Speech-Language Pathologist | 2305 S 10th St, Omaha, NE 68108-1108 | 2016-05-09 |
| 1992166904 | Lauren Stone | Licensed Practical Nurse | 2305 S 10th St, Omaha, NE 68108 | 2016-03-18 |
| 1427415157 | Jaclyn Brown | Occupational Therapist | 2305 S 10th St, Omaha, NE 68108-1108 | 2016-01-26 |
| 1154704468 | Tara Meyerpeter | Occupational Therapist | 2305 S 10th St, Omaha, NE 68108-1108 | 2015-07-06 |
| 1063895373 | Ashley Rae Morner | Occupational Therapist | 2305 S 10th St, Omaha, NE 68108-1108 | 2015-07-06 |
| 1124400874 | Alex Koziol | Clinic/Center | 2305 S 10th St, Omaha, NE 68108-1108 | 2015-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407256837 | Veronica Wolf | Counselor | 1449 S. 12th Street, Omaha, NE 68108 | 2014-09-04 |
| 1689015737 | Beverly Ann Brown | Occupational Therapy Assistant | 2305 South 10th Street, Omaha, NE 68108 | 2013-07-17 |
| 1679761381 | Denise Nebeker Counseling, Inc | Counselor | 2205 S. 10th Street, Ste 328, Omaha, NE 68108 | 2007-10-09 |
| 1316928435 | Nelso A Testa | Dentist | 2319 Vinton Street, Omaha, NE 68108 | 2005-11-07 |
| 1881032860 | Jordan Dudzinski | Dentist | 2002 Vinton Street, Omaha, NE 68108 | 2013-06-12 |
| 1679680508 | Sarah L Ott | Dentist | 2002 Vinton St, Vinton Street Dental, Omaha, NE 68108 | 2006-08-24 |
| 1932142254 | David E Cornell | Podiatrist | 1207 S 13th St, Omaha, NE 68108-0587 | 2006-06-14 |
| 1649554858 | Natalie Marie Gill | Speech-Language Pathologist | 1206 Castelar St, Omaha, NE 68108-1036 | 2011-10-06 |
| 1548394729 | Journeys Recovery Solutions | Community/Behavioral Health | 815 Dorcas St, Omaha, NE 68108-1137 | 2007-03-16 |
| 1316992399 | Telecare Mental Health Services of Nebraska, Inc | Psychiatry & Neurology | 819 Dorcas St, Omaha, NE 68108-1137 | 2006-05-24 |
| Find all providers in zip 68108 | ||||
| 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 |
|---|---|---|---|---|
| 1881128064 | Hillcrest Millard, LLC | Skilled Nursing Facility | 13225 Westwood Ln, Omaha, NE 68144-3515 | 2017-04-14 |
| 1689062861 | Good Hope Healthcare, Inc. | Skilled Nursing Facility | 7501 Keystone Drive, Omaha, NE 68134 | 2014-12-22 |
| 1487076790 | Snf Omaha Operating Company, LLC | Skilled Nursing Facility | 1131 Papillion Pky, Omaha, NE 68154-4651 | 2014-01-07 |
| 1861732307 | Emily Hassel | Skilled Nursing Facility | 2129 S 46th Ave, Omaha, NE 68106-3310 | 2013-02-20 |
| 1871842526 | Stephanie Marie Jones | Skilled Nursing Facility | 15516 Saratoga St, Omaha, NE 68116-8490 | 2012-09-09 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1881844017 | Ltc Healthcare At Florence, Inc. | Skilled Nursing Facility | 3110 Scott Circle, Omaha, NE 68112 | 2008-09-24 |
| 1790981504 | Amber Lynn Schulz | Skilled Nursing Facility | 152 S 167th Cir, Omaha, NE 68118-2626 | 2007-06-27 |
| 1447385588 | Covenant Care Midwest, Inc | Skilled Nursing Facility | 7410 Mercy Rd, Omaha, NE 68124-2317 | 2007-02-22 |
| 1154406643 | Alegent Health Immanuel Medical Center | Skilled Nursing Facility | 6809 N 68th Plz, Omaha, NE 68152-2117 | 2006-10-25 |
| Find all providers in OMAHA | ||||
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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.