CSL MIRACLE HILLS, LLC (NPI# 1487966537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487966537 |
| Entity Type | Organization |
| Organization Name | CSL MIRACLE HILLS, LLC |
| Other Organization Name | THE WATERFORD AT MIRACLE HILLS |
| Practice Address |
11909 Miracle Hills Dr Omaha NE 68154 |
| Mailing Address |
14160 Dallas Parkway Suite 300 Dallas TX 75254 |
| Practice Telephone | 4024310011 |
| Practice Fax Number | 4024319257 |
| 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 | ALF156 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100258495-00 | 05 |
| Other Name | Type Code |
|---|---|
| The Waterford at Miracle Hills | Doing Business As Name - Organization |
| Street Address |
11909 MIRACLE HILLS DR |
| City | OMAHA |
| State | NE |
| Zip Code | 68154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093237372 | Joseph Mcmahon | Physical Therapy Assistant | 11909 Miracle Hills Dr, Omaha, NE 68154-4408 | 2017-07-09 |
| 1174989263 | Angela Thomas | Occupational Therapist | 11909 Miracle Hills Dr, Omaha, NE 68154-4408 | 2016-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| 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 | ||||
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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.