Healthcare Provider Details
I. General information
NPI: 1326268418
Provider Name (Legal Business Name): FIVE STAR QUALITY CARE - NE, LLC DBA AINSWORTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
143 N FULLERTON ST
AINSWORTH NE
69210-1515
US
IV. Provider business mailing address
143 N FULLERTON ST
AINSWORTH NE
69210-1515
US
V. Phone/Fax
- Phone: 402-387-2500
- Fax:
- Phone: 402-387-2500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | NE |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | NE |
VIII. Authorized Official
Name: MS.
BRENDA
KAY
SYFIE
Title or Position: ADMINISTRATOR
Credential: NHA
Phone: 402-387-2500