THE INDEPENDENCE HOUSE SUPERIOR-AUTUMN HOUSE (NPI# 1902100407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902100407 |
| Entity Type | Organization |
| Organization Name | THE INDEPENDENCE HOUSE SUPERIOR-AUTUMN HOUSE |
| Other Organization Name | EMERALD CARE COMPANY |
| Practice Address |
1740 Superior St Lincoln NE 68521-1502 |
| Mailing Address |
1609 N St Lincoln NE 68508-1884 |
| Practice Telephone | 4024387844 |
| Practice Fax Number | 8886991112 |
| Mailing Telephone | 4024757755 |
| Mailing Fax Number | 4024742391 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | MS. MARSHA E. STORK (PRESIDENT) |
| Authorized Official Telephone | 4024757755 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMERALD CARE COMPANY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | ALF172 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100249578-00 | 05 |
| Other Name | Type Code |
|---|---|
| Emerald Care Company | Doing Business As Name - Organization |
| Street Address |
1740 SUPERIOR ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68521-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255802468 | Fallbrook Assisted Living, LLC | Assisted Living Facility | 6600 Juliet Court, Lincoln, NE 68521 | 2018-12-16 |
| 1093168056 | Alyssa Cattle | Dentist | 1649 La Plata Court, Lincoln, NE 68521 | 2016-07-14 |
| 1831538131 | Angela Jo Curran | Nurse Practitioner | 1411 Superior St, Lincoln, NE 68521 | 2013-06-19 |
| 1093089401 | Nancy L Dostal | Pharmacist | 1404 Superiort St., Lincoln, NE 68521 | 2012-03-02 |
| 1225274301 | Nicole Ann Ford | Dietitian, Registered | 5020 N. 27th St, Hy-vee, Lincoln, NE 68521 | 2008-12-19 |
| 1972769685 | Concentra Health Services, Inc. | Clinic/Center | 4900 N 26th Street, #104, Lincoln, NE 68521 | 2008-08-01 |
| 1649446261 | Megan Kristin Classen | Occupational Therapist | 5000 N 26th St Ste 400, Lincoln, NE 68521 | 2008-05-03 |
| 1720278526 | David Bruce Hilsabeck | Counselor | 6109 Nw 9th St, Lincoln, NE 68521 | 2007-07-27 |
| 1871648386 | Douglas C Rienks | Optometrist | 2550 Superior Street, Suite 150, Lincoln, NE 68521 | 2007-01-24 |
| 1518014869 | Carol J Niemann | Counselor | 4000 N 23erd St., Lincoln, NE 68521 | 2007-01-05 |
| Find all providers in zip 68521 | ||||
| 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 |
| 1730425059 | The Waterford Memory Care South 27th, Inc. | Alzheimer Center (Dementia Center) | 8939 Keystone Dr, Lincoln, NE 68516-4127 | 2012-12-13 |
| 1780928036 | The Independence House Northview | Alzheimer Center (Dementia Center) | 1609 N St, Lincoln, NE 68508-1884 | 2012-11-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE INDEPENDENCE HOUSE SUPERIOR-AUTUMN HOUSE.
| 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.