CALLAWAY GOOD LIFE CENTER INC (NPI# 1750630661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750630661 |
| Entity Type | Organization |
| Organization Name | CALLAWAY GOOD LIFE CENTER INC |
| Practice Address |
600 W Kimball St Callaway NE 68825-2592 |
| Mailing Address |
308 N Grand Ave Callaway NE 68825-5124 |
| Practice Telephone | 3083800335 |
| Mailing Telephone | 3083800335 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | MR. RONALD J JORGENSON (PRESIDENT) |
| Authorized Official Telephone | 3083800335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
600 W KIMBALL ST |
| City | CALLAWAY |
| State | NE |
| Zip Code | 68825-2592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861473829 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 600 W Kimball St, Callaway, NE 68825-0250 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154252 | Mattison Idell Anderson | Speech-Language Pathologist | 101 N, S Needham Ave, Callaway, NE 68825 | 2020-08-13 |
| 1518405901 | Team Physical Therapy, P.C. | Clinic/Center | 207 South Grand Avenue, Callaway, NE 68825 | 2017-02-06 |
| 1710471537 | Tessa J Keeney | Physician Assistant | 211 E Kimball St, Callaway, NE 68825 | 2018-06-15 |
| 1831173319 | Edg-fam, Inc | Durable Medical Equipment & Medical Supplies | 113 E Kimball St, Callaway, NE 68825-0130 | 2005-11-30 |
| 1902107345 | Magdol PC | Pharmacy | 200 E Pacific St, Callaway, NE 68825-2500 | 2010-11-16 |
| 1023001724 | Ronald John Sheppard | Family Medicine | 213 E Kimball St, Callaway, NE 68825-2589 | 2005-08-26 |
| 1639217078 | Timothy Aaron Rosfeld | Physician Assistant | 211 E Kimball St, Callaway, NE 68825-2589 | 2007-02-01 |
| 1750399903 | Kenneth Leroy Loper | Family Medicine | 213 E Kimball St, Callaway, NE 68825-2589 | 2006-08-04 |
| 1952534323 | Kristen Ann Rickertsen | Nurse Practitioner | 213 East Kimball Street, Callaway, NE 68825-2596 | 2009-09-01 |
| 1134771256 | Callaway Hospital District | Nurse Practitioner | 213 E Kimball St, Callaway, NE 68825-2596 | 2019-07-09 |
| Find all providers in zip 68825 | ||||
| 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 |
|---|---|---|---|---|
| 1023093804 | Emerald Shores Health Care Associates LLC | Skilled Nursing Facility | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2005-12-14 |
| 1376812016 | 626 North Tyndall Parkway Operations LLC | Skilled Nursing Facility | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2011-12-27 |
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| 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 |
| 1700333879 | Broken Bow Living Center, Inc. | Skilled Nursing Facility | 850 Laurel Pkwy, Broken Bow, NE 68822-1111 | 2016-09-07 |
| 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 |
| 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.