CSL 108TH & Q, LLC (NPI# 1427360569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427360569 |
| Entity Type | Organization |
| Organization Name | CSL 108TH & Q, LLC |
| Other Organization Name | THE WATERFORD AT ROXBURY PARK |
| Practice Address |
5728 S. 108th Street Omaha NE 68137 |
| Mailing Address |
14160 Dallas Parkway Suite 300 Dallas TX 75254 |
| Practice Telephone | 4025370544 |
| Practice Fax Number | 4025938010 |
| Mailing Telephone | 9727705600 |
| Mailing Fax Number | 9727705666 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |
| Authorized Official Name | MRS. GLORIA HOLLAND (VP-FINANCE) |
| Authorized Official Telephone | 9727705600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALF155 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100258494-00 | 05 |
| Other Name | Type Code |
|---|---|
| The Waterford at Roxbury Park | Doing Business As Name - Organization |
| Street Address |
5728 S. 108TH STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1326567686 | Lachelle Zuhlke | Psychologist | 5606 S. 147th Street, Omaha, NE 68137 | 2017-09-18 |
| 1043739766 | Rachel Miller | Registered Nurse | 5606 S. 147th St, Omaha, NE 68137 | 2017-09-13 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1790153617 | Answers for Autism, LLC | Community/Behavioral Health | 6424 S 150th St., Omaha, NE 68137 | 2015-09-09 |
| 1912382383 | Rocky Mountain Holdings, LLC | Ambulance | 12916 Millard Airport Plz, Omaha, NE 68137 | 2015-07-27 |
| Find all providers in zip 68137 | ||||
| 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 |
|---|---|---|---|---|
| 1922586858 | Aksarben Village Senior Living | Assisted Living Facility | 1330 S 70th St, Omaha, NE 68106-2256 | 2018-08-02 |
| 1053858712 | Winzetta Perry | Assisted Living Facility | 2509 Spencer St, Omaha, NE 68111-3247 | 2017-01-19 |
| 1194279067 | Esprit of Whispering Ridge | Assisted Living Facility | 17555 Emmet St, Omaha, NE 68116-1129 | 2016-08-09 |
| 1821372046 | Omaha I Bickford Cottage, L.L.C. | Assisted Living Facility | 11308 Blondo St, Omaha, NE 68164-3822 | 2011-10-06 |
| 1659655876 | Omaha II Bickford Cottage, L.L.C. | Assisted Living Facility | 7337 Hickory St, Omaha, NE 68124-1677 | 2011-10-06 |
| 1538452362 | Heritage Pointe Assisted Living & Memory Support | Assisted Living Facility | 16811 Burdette St, Omaha, NE 68116-2776 | 2011-05-26 |
| 1437440518 | Fushion Medical | Assisted Living Facility | 15349 Davenport Cir, Omaha, NE 68154-2043 | 2011-04-25 |
| 1568751063 | Southview Heights | Assisted Living Facility | 5110 S 49th St, Omaha, NE 68117-2159 | 2011-04-05 |
| 1073812723 | Parsons House On Eagle Run | Assisted Living Facility | 14325 Eagle Run Dr, Omaha, NE 68164-5435 | 2011-03-21 |
| 1336446350 | Immanuel Affordable II Inc. | Assisted Living Facility | 6759 Newport Ave Ste 100, Omaha, NE 68152-2159 | 2011-02-28 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on CSL 108TH & Q, 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.