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NPI Code Detail

MEDICARE: LOUISVILLE CARE CENTER

MEDICARE: LOUISVILLE CARE CENTER
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
1314000000XSkilled Nursing Facility114001NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912980921
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISVILLE CARE CENTER
Provider Business Mailing Address
First Line : 410 W 5TH ST
Second Line :
City : LOUISVILLE
State : NE
Zip : 68037-6006
Country : US
Telephone Number : 402-234-2125
Fax Number : 402-234-2431
Provider Business Practice Location Address
First Line : 410 W 5TH ST
Second Line :
City : LOUISVILLE
State : NE
Zip : 68037-6006
Country : US
Telephone Number : 402-234-2125
Fax Number : 402-234-2431
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. KARI WOCKENFUSS
Credential :
Telephone Number : 402-234-2125
Provider Enumeration Date : 11/23/2005
Last Update Date : 10/30/2012

Similar Medicare Providers

1346364536 — LOUISVILLE CARE CENTER
Practice Location Address:
410 W 5TH ST
LOUISVILLE, NE
68037-6006
Practice Phone: 402-234-2125
Practice Fax:
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Practice Location Address:
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1407156268 — LOUISVILLE CARE CENTER ASSISTED LIVING
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LOUISVILLE, NE
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1174932461 — JESSICA SCHMITT
Practice Location Address:
410 W 5TH ST
LOUISVILLE, NE
68037-6006
Practice Phone: 402-234-2125
Practice Fax:
1861896342 — JAMI SCOTT M.S., CCC-SLP
Practice Location Address:
410 W 5TH ST
LOUISVILLE, NE
68037-6006
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Practice Fax:
1952851420 — DANIEL BROCKEVELT
Practice Location Address:
410 W 5TH ST
LOUISVILLE, NE
68037-6006
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Practice Fax:

Directions to “LOUISVILLE CARE CENTER ” Practice Location

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