THE WATERFORD MEMORY CARE SOUTH 27TH, INC. (NPI# 1730425059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730425059 |
| Entity Type | Organization |
| Organization Name | THE WATERFORD MEMORY CARE SOUTH 27TH, INC. |
| Other Organization Name | THE WATERFORD AT WILDERNESS HILLS |
| Practice Address |
8939 Keystone Dr Lincoln NE 68516-4127 |
| Mailing Address |
1901 Sw 5th St Suite 100 Lincoln NE 68522-1754 |
| Practice Telephone | 4024218105 |
| Practice Fax Number | 4024218106 |
| Mailing Telephone | 4024353550 |
| Mailing Fax Number | 4024355070 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | MR. DAN A. KLEIN SR. (OWNER) |
| Authorized Official Telephone | 4024353550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | ALF344 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Waterford at Wilderness Hills | Doing Business As Name - Organization |
| Street Address |
8939 KEYSTONE DR |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| 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 |
|---|---|---|---|---|
| 1265985675 | Reflection Management | Alzheimer Center (Dementia Center) | 203 Stahlhut Dr, Lincoln, IL 62656-5019 | 2016-08-02 |
| 1235579525 | High Plains Alzheimer's Special Care Center | Alzheimer Center (Dementia Center) | 5601 S 84th St, Lincoln, NE 68516-4405 | 2013-07-01 |
| 1780928036 | The Independence House Northview | Alzheimer Center (Dementia Center) | 1609 N St, Lincoln, NE 68508-1884 | 2012-11-26 |
| 1902100407 | The Independence House Superior-autumn House | Alzheimer Center (Dementia Center) | 1740 Superior St, Lincoln, NE 68521-1502 | 2010-12-27 |
| 1801190301 | The Independence House Mandarin | Alzheimer Center (Dementia Center) | 4610 Mandarin Cir, Lincoln, NE 68516-4434 | 2010-12-27 |
| 1528362027 | The Independence House Coddington | Alzheimer Center (Dementia Center) | 5500 S Coddington Ave, Lincoln, NE 68523-9152 | 2010-12-27 |
| 1720322043 | The Independence House Northview Emerald Gardens | Alzheimer Center (Dementia Center) | 1609 N St, Lincoln, NE 68508-1884 | 2012-11-27 |
| 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 |
| 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 |
| 1285923631 | Edgewood Grand Island Senior Living | Alzheimer Center (Dementia Center) | 214 N. Piper, Grand Island, NE 68803-4027 | 2011-04-06 |
| 1548559990 | Edgewood Columbus Senior Living | Alzheimer Center (Dementia Center) | 3386 53rd Ave., Columbus, NE 68601-1512 | 2011-04-06 |
| 1194014548 | Edgewood Hastings Senior Living | Alzheimer Center (Dementia Center) | 2400 W. 12th St., Hastings, NE 68901-3501 | 2011-04-06 |
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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.