BLUE VALLEY LUTHERAN HOMES SOCIETY INC (NPI# 1932391729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932391729 |
| Entity Type | Organization |
| Organization Name | BLUE VALLEY LUTHERAN HOMES SOCIETY INC |
| Other Organization Name | COURTYARD TERRACE ASSISTED LIVING |
| Practice Address |
1 Terrace Cir Hebron NE 68370-1071 |
| Mailing Address |
Po Box 166 Hebron NE 68370-0166 |
| Practice Telephone | 4027683950 |
| Practice Fax Number | 4027683951 |
| Mailing Telephone | 4027683900 |
| Mailing Fax Number | 4027683901 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2011-06-15 |
| Authorized Official Name | MR. LYLE HIGHT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4027683900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ========= | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Courtyard Terrace Assisted Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770571606 | Blue Valley Lutheran Homes Society Inc | Nursing Facility/Intermediate Care Facility | 755 S 3rd St, Hebron, NE 68370-2000 | 2005-10-13 |
| 1972591808 | Blue Valley Lutheran Homes Society Inc | Skilled Nursing Facility | 220 Park Avenue, Hebron, NE 68370-2008 | 2005-10-13 |
| Street Address |
1 TERRACE CIR |
| City | HEBRON |
| State | NE |
| Zip Code | 68370-1071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346794864 | Jennalee Marie Harris | Counselor | 6150 Highway 136 Suite 1, Hebron, NE 68370 | 2016-08-12 |
| 1225041486 | City of Hebron | Ambulance | 5th & Jefferson, Hebron, NE 68370 | 2006-08-15 |
| 1851642102 | Michael Wayne Logsdon | Pharmacist | 120 Park Ave, Hebron, NE 68370 | 2012-09-26 |
| 1225168180 | Terry Lynn Schaldecker | Pharmacist | 120 Park Ave, Hebron, NE 68370 | 2007-03-07 |
| 1174509194 | Thayer County Memorial Hospital | Home Health | 120 Park Ave, Hebron, NE 68370 | 2005-12-21 |
| 1003897661 | Brent L Madsen | Family Medicine | 120 Park Ave, Hebron, NE 68370 | 2005-11-10 |
| 1043301138 | The County of Thayer | Ambulance | 225 N. 4th Street, Hebron, NE 68370-0201 | 2006-09-27 |
| 1265710008 | Aaron Dye | Physical Therapist | 147 Northside Cir, Hebron, NE 68370-1109 | 2011-07-27 |
| 1073709978 | Bradley Donald Cooper | Physical Therapist | 535 N 9th St, Hebron, NE 68370-1403 | 2007-09-24 |
| 1255707188 | Michelle Souerdyke | Speech-Language Pathologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2015-08-14 |
| Find all providers in zip 68370 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
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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.