PAPILLION MANOR INC (NPI# 1932218765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932218765 |
| Entity Type | Organization |
| Organization Name | PAPILLION MANOR INC |
| Other Organization Name | PAPILLION MANOR |
| Practice Address |
610 S Polk St Papillion NE 68046-2548 |
| Practice Telephone | 4023397700 |
| Practice Fax Number | 4025929155 |
| Mailing Telephone | 4023397700 |
| Mailing Fax Number | 4025929155 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-12-20 |
| 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 | 684004 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Papillion Manor | Doing Business As Name - Organization |
| Street Address |
610 S POLK ST |
| City | PAPILLION |
| State | NE |
| Zip Code | 68046-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275063802 | Vsl Papillion LLC | Skilled Nursing Facility | 610 S Polk St, Papillion, NE 68046-2548 | 2017-06-15 |
| 1609328392 | Jenna Rose Engelken | Physical Therapist | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-27 |
| 1164974135 | Bonnelle Pagel | Physical Therapy Assistant | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-26 |
| 1265984132 | Kimberly Kay Miller | Occupational Therapist | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-26 |
| 1528510492 | Danielle Rae Pekny | Physical Therapy Assistant | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-26 |
| 1336691351 | Mary Jane Holmes | Occupational Therapist | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-25 |
| 1265983381 | Rebecca Arens | Physical Therapy Assistant | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-24 |
| 1326590456 | Mckenzie Baltzell | Occupational Therapist | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-24 |
| 1013468123 | Ann Elizabeth Kastrup | Physical Therapist | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-24 |
| 1487106514 | Kelly Lopez | Physical Therapy Assistant | 610 S Polk St, Papillion, NE 68046-2548 | 2016-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181525 | Alexis Lexi Morgan Mccoy | Speech-Language Pathologist | 423 S. Washington St, Papillion, NE 68046 | 2020-07-07 |
| 1144860339 | Megan Arlene Drost | Physical Therapist | 10601 S 72nd St. 103, Papillion, NE 68046 | 2020-01-15 |
| 1659930667 | Nil Sine Deo | Home Health | 10791 S 72nd St Ste 104, Papillion, NE 68046 | 2019-06-12 |
| 1902463458 | Capehart Papio, LLC | Clinic/Center | 10955 Cumberland Dr, Papillion, NE 68046 | 2019-05-21 |
| 1144884727 | Dayna Renee Hazlewood | Student in an Organized Health Care Education/Training Program | 120 Olson Drive, Ste 107, Papollion, NE 68046 | 2019-04-29 |
| 1659859734 | Vision Specialists of Papillion LLC | Optometrist | 120 Olson Drive Suite 107, Papillion, NE 68046 | 2018-08-01 |
| 1063999803 | Paige Jean Arlt | Speech-Language Pathologist | 420 S. Washington St., Papillion, NE 68046 | 2018-07-24 |
| 1508380437 | Adrienne Ann Haubold | Speech-Language Pathologist | 500 Valley Road, Papillion, NE 68046 | 2017-08-02 |
| 1316471667 | Dynamic Pain Relief | Pain Medicine | 701 Pinnacle Drive, Suite 105, Papillion, NE 68046 | 2017-04-13 |
| 1124575246 | Amy Allen | Speech-Language Pathologist | 10820 Wittmus Dr, Papillion, NE 68046 | 2016-09-07 |
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| 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 |
|---|---|---|---|---|
| 1619124849 | Hillcrest Development Company LLC | Skilled Nursing Facility | 6082 Grand Lodge Ave, Papillion, NE 68133-3200 | 2008-08-19 |
| 1194712141 | Huntington Park Care Center, Inc. | Skilled Nursing Facility | 1507 E Gold Coast Rd, Papillion, NE 68046-4722 | 2005-10-04 |
| 1902311871 | Hce-cottages LLC | Skilled Nursing Facility | 6082 Grand Lodge Ave, Papillion, NE 68133-3200 | 2017-12-13 |
| 1275063802 | Vsl Papillion LLC | Skilled Nursing Facility | 610 S Polk St, Papillion, NE 68046-2548 | 2017-06-15 |
| 1871949024 | Hillcrest Shadow Lake LLC | Skilled Nursing Facility | 1507 E Gold Coast Rd, Papillion, NE 68046-4722 | 2016-05-06 |
| 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 |
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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.