Healthcare Provider Details

I. General information

NPI: 1104279140
Provider Name (Legal Business Name): AINSWORTH BROWN COUNTY CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
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

Practice location:
  • Phone: 308-360-3399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: PENNY JACOBS
Title or Position: ADMINISTRATOR
Credential:
Phone: 402-387-1294