Healthcare Provider Details

I. General information

NPI: 1437581154
Provider Name (Legal Business Name): NYE MEADOWS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S 18TH ST
NORFOLK NE
68701-4543
US

IV. Provider business mailing address

500 S 18TH ST
NORFOLK NE
68701-4543
US

V. Phone/Fax

Practice location:
  • Phone: 402-371-1730
  • Fax:
Mailing address:
  • Phone: 402-371-1730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: JASON DEAN HARNISCH
Title or Position: VP OF FINANCE
Credential:
Phone: 402-753-6101