LIBERTY HOUSE WAHOO (NPI# 1609156520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609156520 |
| Entity Type | Organization |
| Organization Name | LIBERTY HOUSE WAHOO |
| Practice Address |
1145 N Laurel St Wahoo NE 68066-1244 |
| Mailing Address |
5919 Maple St Omaha NE 68104-4101 |
| Practice Telephone | 4024435505 |
| Mailing Telephone | 4026815018 |
| Mailing Fax Number | 4025584700 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Authorized Official Name | MRS. RACHEL PINKERTON (OWNER) |
| Authorized Official Telephone | 3085302688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALF 298 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025480800 | 05 |
| Street Address |
1145 N LAUREL ST |
| City | WAHOO |
| State | NE |
| Zip Code | 68066-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336336650 | Assisted Living Concepts Inc | Assisted Living Facility | 1313 Hackberry Street, Wahoo, NE 68066 | 2007-10-01 |
| 1235205238 | Larry Dean Swanson | Dentist | 427 North Broadway Street, Wahoo, NE 68066 | 2006-11-28 |
| 1114305083 | Nicole Marie Akers | Family Medicine | 1760 County Road J, Wahoo, NE 68066 | 2015-05-12 |
| 1962616664 | Crmt Inc. | Durable Medical Equipment & Medical Supplies | 141 East 5th Street, Wahoo, NE 68066-0367 | 2007-05-10 |
| 1114303518 | Barbara Chall | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2015-08-07 |
| 1518586916 | Abigail Hiebner | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2020-04-15 |
| 1285271437 | Joshua Trutna | Registered Nurse | 2201 N Locust St, Wahoo, NE 68066-1093 | 2019-12-06 |
| 1649754193 | Jennifer Johnson | Psychologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2018-09-20 |
| 1174979322 | Kelsey Sestak | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2016-05-06 |
| 1730225343 | Daileys Clinic Phcy Inc | Pharmacy | 735 W 10th St, Wahoo, NE 68066-1100 | 2007-01-30 |
| Find all providers in zip 68066 | ||||
| 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 |
|---|---|---|---|---|
| 1992179675 | Sl Wahoo, LLC | Assisted Living Facility | 1313 N Hackberry St, Wahoo, NE 68066-1148 | 2015-11-18 |
| 1336336650 | Assisted Living Concepts Inc | Assisted Living Facility | 1313 Hackberry Street, Wahoo, NE 68066 | 2007-10-01 |
| 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 |
| 1467096446 | The Heritage At Sagewood Operating, LLC | Assisted Living Facility | 1920 Sagewood Ave, Grand Island, NE 68803-1585 | 2019-11-01 |
| 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 |
| 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.