MEDICARE: HAVEN MANOR ASSISTED LIVING PLUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1154601078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAVEN MANOR ASSISTED LIVING PLUS

Provider Business Mailing Address
First Line	:	4800 S 48TH ST
Second Line	:	COLLEGE VIEW NORTH
City	:	LINCOLN
State	:	NE
Zip	:	68516-1216
Country	:	US
Telephone Number	:	402-434-2680
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 S 48TH ST
Second Line	:	COLLEGE VIEW NORTH
City	:	LINCOLN
State	:	NE
Zip	:	68516-1216
Country	:	US
Telephone Number	:	402-434-2680
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTING DEPT
Name	:	SAMANTHA D ULERY
Credential	:
Telephone Number	:	402-434-2680

Provider Enumeration Date	:	08/23/2011
Last Update Date	:	08/23/2011

Similar Medicare Providers

1972562866 — JEAN L'ITALIEN RDH
Practice Location Address:

9 MAIN ST , RUHL BUILDING
LINCOLN, ME
04457-1216

Practice Phone: 207-794-6700
Practice Fax: 207-794-8792

1659330447 — TIMOTHY WAYNE ARCHER RDH
Practice Location Address:

9 MAIN ST
LINCOLN, ME
04457-1216

Practice Phone: 207-794-8790
Practice Fax: 207-794-6777

1023231271 — DR. JEROME P ROBERTS DDS
Practice Location Address:

9 MAIN ST , SUITE B
LINCOLN, ME
04457-1216

Practice Phone: 207-794-6700
Practice Fax: 207-794-6777

1710142625 — RAPOZAFAMILY DENTISTRY
Practice Location Address:

1319 LINCOLN AVE
PROSPECT PARK, PA
19076-1216

Practice Phone: 610-532-5008
Practice Fax: 610-532-2459

1104187608 — MRS. MARTHA PASCHKE CD(DONA)
Practice Location Address:

227 N LINCOLN AVE
GENEVA, IL
60134-1216

Practice Phone: 630-232-4075
Practice Fax:

1184985640 — DR. KATERINA SIOUTIS DMD
Practice Location Address:

1319 LINCOLN AVE
PROSPECT PARK, PA
19076-1216

Practice Phone: 610-532-5008
Practice Fax: 610-532-2459

Directions to “HAVEN MANOR ASSISTED LIVING PLUS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.