Healthcare Provider Details

I. General information

NPI: 1386940856
Provider Name (Legal Business Name): HOFFMEISTER HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 N PINE ST
GENOA NE
68640-3037
US

IV. Provider business mailing address

324 N PINE ST P.O. BOX 519
GENOA NE
68640-3037
US

V. Phone/Fax

Practice location:
  • Phone: 402-993-2811
  • Fax: 402-993-2542
Mailing address:
  • Phone: 402-993-2811
  • Fax: 402-993-2542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberALF027
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberALF131
License Number StateNE

VIII. Authorized Official

Name: MR. JOHN JOSEPH HOFFMEISTER JR.
Title or Position: ADMINISTRATOR/PRESIDENT
Credential:
Phone: 402-682-1869