EDGEWOOD COLUMBUS SENIOR LIVING (NPI# 1548559990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548559990 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD COLUMBUS SENIOR LIVING |
| Practice Address |
3386 53rd Ave. Columbus NE 68601-1512 |
| Practice Telephone | 4025643785 |
| Practice Fax Number | 4025644157 |
| Mailing Telephone | 4025643785 |
| Mailing Fax Number | 4025644157 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | MR. REX CARLSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7017382000 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 2801061139 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025769900 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EDGEWOOD COLUMBUS SENIOR LIVING, LLC | 322 Demers Avenue Ste 500, Grand Forks, ND 58201 |
| Street Address |
3386 53RD AVE. |
| City | COLUMBUS |
| State | NE |
| Zip Code | 68601-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612433 | Cassie L. Snodgrass | Massage Therapist | 3763 39th Ave Suite 100, Columbus, NE 68601 | 2017-04-10 |
| 1184176935 | Janelle Ryan | Speech-Language Pathologist | 2410 16th Street, Columbus, NE 68601 | 2016-10-27 |
| 1366994113 | Lorie Young | Speech-Language Pathologist | 2508 27th Street, Columbus, NE 68601 | 2016-10-27 |
| 1649722497 | Joette Post | Speech-Language Pathologist | 4100 Adamy Street, Columbus, NE 68601 | 2016-10-27 |
| 1699144360 | Sara Werner | Speech-Language Pathologist | 3744 83rd St, Columbus, NE 68601 | 2015-09-23 |
| 1811376627 | Karla Kay Wagner | Counselor | 3309 31st Street, Columbus, NE 68601 | 2015-05-26 |
| 1295014983 | Amberlace A Citta | Nurse Practitioner | 3775 45th Avenue, Columbus, NE 68601 | 2011-08-11 |
| 1457630535 | Erin Brooke Schmidt | Speech-Language Pathologist | 3005 35th Street, Columbus, NE 68601 | 2011-08-08 |
| 1831483239 | Kelli Parsons | Counselor | 3314 26th St Ste A, Columbus, NE 68601 | 2011-06-02 |
| 1699926758 | East Central District Health Department Reproductive Health Clinic | Obstetrics & Gynecology | 2282 East 32nd Ave, Columbus, NE 68601 | 2008-10-08 |
| Find all providers in zip 68601 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1306172135 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 3607 Weems Rd, Columbus, GA 31909-3701 | 2009-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629565452 | Compassionate Memory Care 2, Inc | Alzheimer Center (Dementia Center) | 407 S 86th St, Omaha, NE 68114-4250 | 2018-04-17 |
| 1962919472 | O'neill Senior Living, LLC | Alzheimer Center (Dementia Center) | 1203 E Hynes Ave., Oneill, NE 68763 | 2018-01-05 |
| 1871998104 | Hastings Memory Care, LLC | Alzheimer Center (Dementia Center) | 19209 Taylor Cir, Elkhorn, NE 68022-5234 | 2014-10-29 |
| 1679978134 | Fremont Memory Care, LLC | Alzheimer Center (Dementia Center) | 749 E 32nd St, Fremont, NE 68025-2312 | 2014-10-27 |
| 1093116998 | Countryhouse Residences | Alzheimer Center (Dementia Center) | 5030 S 155th St, Omaha, NE 68137-5002 | 2014-09-10 |
| 1235579525 | High Plains Alzheimer's Special Care Center | Alzheimer Center (Dementia Center) | 5601 S 84th St, Lincoln, NE 68516-4405 | 2013-07-01 |
| 1730425059 | The Waterford Memory Care South 27th, Inc. | Alzheimer Center (Dementia Center) | 8939 Keystone Dr, Lincoln, NE 68516-4127 | 2012-12-13 |
| 1780928036 | The Independence House Northview | Alzheimer Center (Dementia Center) | 1609 N St, Lincoln, NE 68508-1884 | 2012-11-26 |
| 1245512979 | Via Christe LLC | Alzheimer Center (Dementia Center) | 15677 Spaulding St, Omaha, NE 68116-8411 | 2011-09-20 |
| 1265723829 | Grand Island Countryhouse LLC | Alzheimer Center (Dementia Center) | 833 N Alpha St, Grand Island, NE 68803-4321 | 2011-04-29 |
| Find all providers with the same taxonomy | ||||
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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.