(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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intermediate Care Facility, Mentally Retarded |
315P00000X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
General Acute Care Hospital |
282N00000X | A0[7] | Hospital-General | |
Health Service |
261QH0100X | |||
Public Health, State or Local |
261QP0905X | |||
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320600000X |
| NPI # | 1114085826 |
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| LBN Legal business name | STATE OF NEBRASKA DEPT OF ADMIN SERVICES | ||||||||||||
| Authorized official | CORINA HARRISON - (FACILITY ADMINISTRATOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 12/05/2006 | ||||||||||||
| Last updated | 10/20/2022 - About 4 years ago | ||||||||||||
| Identifiers |
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STATE OF NEBRASKA DEPT OF ADMIN SERVICES
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