THE HERITAGE AT SAGEWOOD OPERATING , LLC (NPI# 1467096446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467096446 |
Entity Type | Organization |
Organization Name | THE HERITAGE AT SAGEWOOD OPERATING , LLC |
Practice Address |
1920 Sagewood Ave Grand Island NE 68803-1585 |
Mailing Address |
16934 Frances St Ste 200 Omaha NE 68130-2397 |
Practice Telephone | 3083988005 |
Practice Fax Number | 3086753325 |
Mailing Telephone | 4029332561 |
Mailing Fax Number | 4029332673 |
Enumeration Date | 2019-11-01 |
Last Update Date | 2019-11-01 |
Authorized Official Name | BRANDI CORNWELL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3083988005 |
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 |
---|---|
Heritage at Sagewood | Doing Business As Name - Organization |
Street Address |
1920 SAGEWOOD AVE |
City | GRAND ISLAND |
State | NE |
Zip Code | 68803-1585 |
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 | 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 |
---|---|---|---|---|
1245514165 | Jcdh Incorporated | Assisted Living Facility | 118 Ingalls St, Grand Island, NE 68803-5725 | 2011-10-11 |
1720362940 | Grand Island Bickford Cottage, L.L.C. | Assisted Living Facility | 3285 Woodridge Blvd, Grand Island, NE 68801-7204 | 2011-10-06 |
1962784819 | Riverside Lodgem Inc | Assisted Living Facility | 404 Woodland Dr, Grand Island, NE 68801-8906 | 2011-09-16 |
1851849251 | Grand Island Lakeview Care and Rehabilitation Center, LLC | Assisted Living Facility | 1405 West Highway 34, Grand Island, NE 68801-8823 | 2016-09-14 |
1558631010 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 4075 Timberline St, Grand Island, NE 68803-6553 | 2011-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407477326 | Fsl Mccook Ne Tenant LLC | Assisted Living Facility | 1500 E 11th St, Mc Cook, NE 69001-3489 | 2020-05-01 |
1720640980 | Whispering Winds Cottage, LLC | Assisted Living Facility | 628 N 33rd St, Beatrice, NE 68310-3306 | 2019-07-08 |
1275091308 | Oneill Sl Inc | Assisted Living Facility | 1203 E Hynes Ave, Oneill, NE 68763-1451 | 2019-03-07 |
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 |
1255802468 | Fallbrook Assisted Living, LLC | Assisted Living Facility | 6600 Juliet Court, Lincoln, NE 68521 | 2018-12-16 |
1417431859 | Pawnee City Assisted Living Inc. | Assisted Living Facility | 330 12th St., Pawnee City, NE 68420-0463 | 2018-09-21 |
1922586858 | Aksarben Village Senior Living | Assisted Living Facility | 1330 S 70th St, Omaha, NE 68106-2256 | 2018-08-02 |
1629560446 | Vsl Alliance Assisted Living LLC | Assisted Living Facility | 150 W 24th St, Alliance, NE 69301 | 2018-06-06 |
1215431192 | Hope Cooperative Care Inc. | Assisted Living Facility | 324 N 5th St, Plattsmouth, NE 68048-1407 | 2018-03-23 |
Find all providers with the same taxonomy |
City | GRAND ISLAND |
Zip Code | 68803 |
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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.