PENDER CARE CENTRE DISTRICT INC (NPI# 1962578997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962578997 |
| Entity Type | Organization |
| Organization Name | PENDER CARE CENTRE DISTRICT INC |
| Other Organization Name | LEGACY GARDEN REHABILITATION AND LIVING CENTER |
| Practice Address |
200 Valley View Dr Pender NE 68047-4443 |
| Practice Telephone | 4023853072 |
| Practice Fax Number | 4023852603 |
| Mailing Telephone | 4023853072 |
| Mailing Fax Number | 4023852603 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-04-04 |
| Authorized Official Name | MRS. SHARI L DORSEY (ADMINISTRATOR) |
| Authorized Official Telephone | 4023853072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 42116496400 | NE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10024972000 | 05 |
| Other Name | Type Code |
|---|---|
| Legacy Garden Rehabilitation and Living Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871066159 | Pender Care Centre District Inc | Pharmacy | 1003 S Main St Ste 2, Emerson, NE 68733-3613 | 2019-01-09 |
| 1871942896 | Pender Care Centre District Inc | Pharmacy | 1024 Avenue E Ste 100, Wisner, NE 68791-2248 | 2016-06-09 |
| 1588129720 | Pender Care Centre District Inc | Pharmacy | 303 Plaza Dr, West Point, NE 68788-2611 | 2019-02-01 |
| 1548688534 | Pender Care Centre District Inc | Pharmacy | 958 Wellness Way Ste 2, Pender, NE 68047-4518 | 2014-04-07 |
| Street Address |
200 VALLEY VIEW DR |
| City | PENDER |
| State | NE |
| Zip Code | 68047-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004737 | Karissa Lynn Johnson | Chiropractor | 110 N 4th Street, Pender, NE 68047 | 2016-10-20 |
| 1003367368 | Align Chiropractic, LLC | Chiropractor | 110 North 4th Street, Pender, NE 68047 | 2016-10-20 |
| 1811327273 | Northeast Nebraska Community Action Partnership, Inc. | Public Health or Welfare | 603 Earl Street, Pender, NE 68047 | 2013-11-22 |
| 1114030798 | Village of Pender | Ambulance | 314 Maple St, Pender, NE 68047 | 2006-08-16 |
| 1992749675 | Mercy Medical Services | Family Medicine | 100 Valley View Drive, Pender, NE 68047 | 2006-06-15 |
| 1609318849 | Dregalla Family Dentistry | Clinic/Center | 402 Main St, Pender, NE 68047 | 2016-11-04 |
| 1780769158 | Christine Dregalla | Dentist | 402 Main St, Pender, NE 68047 | 2006-10-26 |
| 1073600870 | Larry E Rihanek | Pharmacist | 100 Valley View Drive, Pender, NE 68047 | 2006-10-05 |
| 1285678987 | Benjamin O. Martin | Family Medicine | 100 Valley View Drive, Pender, NE 68047 | 2006-06-15 |
| 1588149561 | Brock Peter Simonsen | Physical Therapist | 100 Hospital Dr, Pender, NE 68047-4507 | 2018-09-26 |
| Find all providers in zip 68047 | ||||
| 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 |
|---|---|---|---|---|
| 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.