MEDICARE: HEMINGFORD COMMUNITY CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	044003	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932220241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEMINGFORD COMMUNITY CARE CENTER

Provider Business Mailing Address
First Line	:	PO BOX 307
Second Line	:	605 DONALD AVE.
City	:	HEMINGFORD
State	:	NE
Zip	:	69348-0307
Country	:	US
Telephone Number	:	308-487-3301
Fax Number	:	308-487-5447

Provider Business Practice Location Address
First Line	:	605 DONALD AVE.
Second Line	:
City	:	HEMINGFORD
State	:	NE
Zip	:	69348-0307
Country	:	US
Telephone Number	:	308-487-3301
Fax Number	:	308-487-5447

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LANA LEE TAYLOR
Credential	:
Telephone Number	:	308-487-3301

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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Directions to “HEMINGFORD COMMUNITY CARE CENTER ” Practice Location

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