Healthcare Provider Details

I. General information

NPI: 1962312298
Provider Name (Legal Business Name): KEARNEY SENIOR LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 22ND AVE
KEARNEY NE
68845-2368
US

IV. Provider business mailing address

16934 FRANCES ST STE 200
OMAHA NE
68130-2397
US

V. Phone/Fax

Practice location:
  • Phone: 308-856-2100
  • Fax: 308-224-3790
Mailing address:
  • Phone: 402-403-4330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR JACKSON
Title or Position: DIRECTOR OF QUALITY AND COMPLIANCE
Credential: LCSW
Phone: 402-403-4330