BROKEN BOW LIVING CENTER, INC. (NPI# 1700333879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700333879 |
Entity Type | Organization |
Organization Name | BROKEN BOW LIVING CENTER, INC. |
Other Organization Name | BROOKESTONE VIEW SKILLED NURSING AND REHABILITATION |
Practice Address |
850 Laurel Pkwy Broken Bow NE 68822-1111 |
Practice Telephone | 4027672300 |
Practice Fax Number | 4027672800 |
Mailing Telephone | 4027672300 |
Mailing Fax Number | 4027672800 |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-10-09 |
Authorized Official Name | MR. JACK VETTER (CEO) |
Authorized Official Telephone | 4028953932 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | NE | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 47042653011 | 05 |
Other Name | Type Code |
---|---|
Brookestone View Skilled Nursing and Rehabilitation | Doing Business As Name - Organization |
Street Address |
850 LAUREL PKWY |
City | BROKEN BOW |
State | NE |
Zip Code | 68822-1111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972032555 | Vsl Broken Bow LLC | Skilled Nursing Facility | 850 Laurel Pkwy, Broken Bow, NE 68822-1111 | 2017-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659898229 | Lauren Eliz Zimbelman | Occupational Therapy Assistant | Brookestone View, 850 Laurel Parkway Drive, Broken Bow, NE 68822 | 2017-08-24 |
1063868032 | Tanner Johnson | Specialist/Technologist | 79568 Sumner Rd., Broken Bow, NE 68822 | 2016-05-10 |
1730571837 | Quality Senior Villages | Clinic/Center | 715 Arapahoe Lane, Broken Bow, NE 68822 | 2015-02-26 |
1346660743 | Sheila Erickson | Case Manager/Care Coordinator | 323 S 7th Street, Broken Bow, NE 68822 | 2014-04-24 |
1497926570 | Sarah Tove Hansen | Community Health Worker | 850 Laurel Parkway Dr, Broken Bow, NE 68822 | 2008-03-18 |
1144320144 | John C Evans | Nurse Anesthetist, Certified Registered | 145 Memorial Dr., Broken Bow, NE 68822 | 2006-09-22 |
1588764583 | Timothy Bart Johnson | Nurse Anesthetist, Certified Registered | 79568 Sumner Road, Broken Bow, NE 68822 | 2006-09-22 |
1578668232 | Central Nebraska Medical Clinic PC | Family Medicine | 145 Memorial Drive, Broken Bow, NE 68822 | 2006-09-14 |
1366544033 | Robert R Kahnk | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822 | 2006-09-02 |
1891897997 | David A Minnick | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822 | 2006-09-01 |
Find all providers in zip 68822 |
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 |
---|---|---|---|---|
1780977462 | Broken Bow Health and Rehab LLC | Skilled Nursing Facility | 700 Jones St., Broken Bow, OK 74728-0130 | 2011-05-27 |
1659322956 | Ggnsc Broken Bow LLC | Skilled Nursing Facility | 224 E South E St, Broken Bow, NE 68822-2649 | 2006-05-12 |
1659359438 | Heartway Corporation | Skilled Nursing Facility | 1201 Dierks St, Broken Bow, OK 74728-1751 | 2006-01-03 |
1518969781 | Indian Nations Health Care LLC | Skilled Nursing Facility | 700 Jones St, Broken Bow, OK 74728-5304 | 2005-06-01 |
1295296663 | Broken Bow Operations LLC | Skilled Nursing Facility | 224 E South E St, Broken Bow, NE 68822-2649 | 2019-03-28 |
1972032555 | Vsl Broken Bow LLC | Skilled Nursing Facility | 850 Laurel Pkwy, Broken Bow, NE 68822-1111 | 2017-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437618576 | Vsl Kearney LLC | Skilled Nursing Facility | 2615 W 11th St, Kearney, NE 68845-0106 | 2019-03-18 |
1316436470 | St Josephs Elder Services Inc | Skilled Nursing Facility | 540 E Washington St, West Point, NE 68788-1314 | 2018-05-04 |
1013434703 | Snf Lincoln Operating Company LLC | Skilled Nursing Facility | 5431 S 16th St, Lincoln, NE 68512-1206 | 2017-08-24 |
1063935369 | Quality Care Solutions, L.L.C. | Skilled Nursing Facility | 1313 1st St, Aurora, NE 68818 | 2017-07-19 |
1881128064 | Hillcrest Millard, LLC | Skilled Nursing Facility | 13225 Westwood Ln, Omaha, NE 68144-3515 | 2017-04-14 |
1518491976 | Hillcrest Firethorn, LLC | Skilled Nursing Facility | 8601 Firethorn Lane, Lincoln, NE 68520 | 2017-04-12 |
1437546033 | Tabitha Inc | Skilled Nursing Facility | 3355 Orwell St, Lincoln, NE 68516-6624 | 2015-04-21 |
1205226552 | Bonnilee Anne Tyrrell | Skilled Nursing Facility | 7208 Van Dorn St, Lincoln, NE 68506-3651 | 2015-01-26 |
1073902128 | Laci Harper | Skilled Nursing Facility | 4800 Lonewood Dr, Lincoln, NE 68516-1464 | 2015-01-13 |
1689062861 | Good Hope Healthcare, Inc. | Skilled Nursing Facility | 7501 Keystone Drive, Omaha, NE 68134 | 2014-12-22 |
Find all providers with the same taxonomy |
City | BROKEN BOW |
Zip Code | 68822 |
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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.