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NPI 1013800291

NPI 1013800291 : NYE LOUISVILLE, LLC : LOUISVILLE, NE

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General NPI Number Information
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    NPI Number           |    1013800291
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    Entity Type          |    Organization 
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    Legal Business Name  |    NYE LOUISVILLE, LLC 
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Dates
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    Enumeration Date     |    05/29/2025
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    Last Update Date     |    05/29/2025
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Provider Practice Location Address
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    Address Line         |    410 W 5TH ST 
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    City                 |    LOUISVILLE
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    State                |    NE
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    Zip                  |    68037-6006
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    Country              |    US
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    Telephone            |    402-234-2125
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    Fax                  |    402-234-2431
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Provider Business Mailing Address
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    Address Line         |    410 W 5TH ST 
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    City                 |    LOUISVILLE
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    State                |    NE
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    Zip                  |    68037-6006
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    Country              |    US
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    Telephone            |    402-234-2125
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    Fax                  |    402-234-2431
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Authorized Official
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    Title or Position    |    VP OF FINANCE
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    Name                 |     JASON DEAN HARNISCH 
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    Credential           |    
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    Telephone            |    402-753-6101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    
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    License Number State |    
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