HERITAGE OF FAIRBURY-ST EDWARD, INC (NPI# 1801905641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801905641 |
| Entity Type | Organization |
| Organization Name | HERITAGE OF FAIRBURY-ST EDWARD, INC |
| Other Organization Name | CLOVERLODGE CARE CENTER |
| Practice Address |
301 N 13th St Saint Edward NE 68660-4426 |
| Practice Telephone | 4026782294 |
| Practice Fax Number | 4026782446 |
| Mailing Telephone | 4026782294 |
| Mailing Fax Number | 4026782446 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JACK DEAN VETTER (PRESIDENT) |
| Authorized Official Telephone | 4028953932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 34002 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cloverlodge Care Center | Doing Business As Name - Organization |
| Street Address |
301 N 13TH ST |
| City | SAINT EDWARD |
| State | NE |
| Zip Code | 68660-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043777162 | Julie Anne Becker | Physical Therapy Assistant | 301 N 13th St, Saint Edward, NE 68660-4426 | 2019-02-25 |
| 1891225447 | Vsl St Edward LLC | Skilled Nursing Facility | 301 N 13th St, Saint Edward, NE 68660-4426 | 2017-06-15 |
| 1790235943 | Kelly Van Ert | Occupational Therapist | 301 N 13th St, Saint Edward, NE 68660-4426 | 2016-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851673362 | Sally J Choat | Speech-Language Pathologist | 3591 250th Avenue, Saint Edward, NE 68660 | 2011-09-12 |
| 1265710438 | St Edward Volunteer Fire & Rescue | Ambulance | 1300 State Hwy 39, St Edward, NE 68660 | 2011-07-22 |
| 1811059652 | Marshall Pharmacy | Pharmacy | 3rd & Beaver, St. Edward, NE 68660 | 2006-12-15 |
| 1225063266 | Country Clinics PC | Clinic/Center | 1102 Water St, St Edward, NE 68660-0167 | 2006-07-11 |
| 1306839295 | Joyce Anne Troyer | General Practice | 1102 Water St, Saint Edward, NE 68660-4478 | 2005-08-25 |
| 1477577336 | Sara Dawn Mahony | Physician Assistant | 1102 Water St, Saint Edward, NE 68660-4478 | 2006-07-26 |
| 1326031212 | Terry Lynn Troyer | Family Medicine | 1102 Water St, Saint Edward, NE 68660-4478 | 2005-08-25 |
| 1063869139 | Caring Companions, Inc | Home Health | 3523 250th Ave, Saint Edward, NE 68660-5222 | 2016-05-18 |
| 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 |
|---|---|---|---|---|
| 1891225447 | Vsl St Edward LLC | Skilled Nursing Facility | 301 N 13th St, Saint Edward, NE 68660-4426 | 2017-06-15 |
| 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 |
| 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 | ||||
| City | SAINT EDWARD |
| Zip Code | 68660 |
Please comment or provide details below to improve the information on HERITAGE OF FAIRBURY-ST EDWARD, INC.
| 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.