National Provider Identifier Database

STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

STATE OF NEBRASKA DEPT OF ADMIN SERVICES
3000 LINCOLN
BEATRICE, NE68310-3319
Phone: 402-223-6600
Fax: 402-223-7589
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X
Ambulatory Surgical 261QA1903X
General Acute Care Hospital 282N00000X
Health Service 261QH0100X
Public Health, State or Local 261QP0905X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for STATE OF NEBRASKA DEPT OF ADMIN SERVICES

NPI Number 1114085826
Legal business name
LBN
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Authorized official CORINA HARRISON - (FACILITY ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/05/2006
Last updated 10/20/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NE License #: 098247BE
  • NE License #: 320003
  • NE License #: ICFMR03

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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