BROOKSTONE VILLAGE INC (NPI# 1467560433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467560433 |
| Entity Type | Organization |
| Organization Name | BROOKSTONE VILLAGE INC |
| Other Organization Name | BROOKSTONE VILLAGE |
| Practice Address |
4330 S 144th St Omaha NE 68137-1051 |
| Practice Telephone | 4026144000 |
| Practice Fax Number | 4026144001 |
| Mailing Telephone | 4026144000 |
| Mailing Fax Number | 4026144001 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-09-13 |
| Authorized Official Name | JACK DEAN VETTER (PRESIDENT) |
| Authorized Official Telephone | 4028953932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 264603 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brookstone Village | Doing Business As Name - Organization |
| Street Address |
4330 S 144TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68137-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410343 | Tiffany S Knigge | Physical Therapy Assistant | 4330 S 144th St, Omaha, NE 68137-1051 | 2020-09-02 |
| 1255992616 | Corinda Kay Rymer | Occupational Therapy Assistant | 4330 S 144th St, Omaha, NE 68137-1051 | 2019-06-26 |
| 1902467616 | Lora Delair | Physical Therapy Assistant | 4330 S 144th St, Omaha, NE 68137-1051 | 2019-06-24 |
| 1629638655 | Hetal R Rijiya | Physical Therapist | 4330 S 144th St, Omaha, NE 68137-1051 | 2019-06-20 |
| 1194385625 | Kristin Carroll | Physical Therapy Assistant | 4330 S 144th St, Omaha, NE 68137-1051 | 2019-06-17 |
| 1104485168 | Shanna Lea Pogue | Physical Therapy Assistant | 4330 S 144th St, Omaha, NE 68137-1051 | 2019-06-12 |
| 1619533254 | Hilary M Mele | Occupational Therapist | 4330 S 144th St, Omaha, NE 68137-1051 | 2019-05-18 |
| 1366972994 | Vsl Omaha LLC | Skilled Nursing Facility | 4330 S 144th St, Omaha, NE 68137-1051 | 2017-06-15 |
| 1194277145 | Jerilyn Cornell | Occupational Therapist | 4330 S 144th St, Omaha, NE 68137-1051 | 2016-10-25 |
| 1790138980 | Annie Beaudin | Physical Therapy Assistant | 4330 S 144th St, Omaha, NE 68137-1051 | 2016-07-22 |
| Find all providers in the same location | ||||
| 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 | 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.