MEDICARE: HOFFMEISTER HOMES INC

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	ALF027	NE
2	310400000X	Assisted Living Facility	ALF131	NE

General Provider Information

NPI Number	:	1386940856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOFFMEISTER HOMES INC

Provider Business Mailing Address
First Line	:	324 N PINE ST
Second Line	:	P.O. BOX 519
City	:	GENOA
State	:	NE
Zip	:	68640-3037
Country	:	US
Telephone Number	:	402-993-2811
Fax Number	:	402-993-2542

Provider Business Practice Location Address
First Line	:	324 N PINE ST
Second Line	:
City	:	GENOA
State	:	NE
Zip	:	68640-3037
Country	:	US
Telephone Number	:	402-993-2811
Fax Number	:	402-993-2542

Authorized Official
Title or Position	:	ADMINISTRATOR/PRESIDENT
Name	:	MR. JOHN JOSEPH HOFFMEISTER JR.
Credential	:
Telephone Number	:	402-682-1869

Provider Enumeration Date	:	02/01/2011
Last Update Date	:	02/01/2011

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Directions to “HOFFMEISTER HOMES INC ” Practice Location

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