BROKEN BOW LIVING CENTER, INC.


Address: 850 Laurel Pkwy, Broken Bow, NE 68822-1111
Phone: 4027672300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility NE Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NE 47042653011 05

Other Provider/Organization Names

Other Name Type Code
Brookestone View Skilled Nursing and Rehabilitation Doing Business As Name - Organization

Office Location

Street Address 850 LAUREL PKWY
City BROKEN BOW
State NE
Zip Code 68822-1111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972032555 Vsl Broken Bow LLC Skilled Nursing Facility 850 Laurel Pkwy, Broken Bow, NE 68822-1111 2017-06-07

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BROKEN BOW
Zip Code 68822

Improve Information

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Dataset Information

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.

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