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Contact Information

MONTCLAIR HEALTHCARE LLC
2525 S 135TH AVE
OMAHA, NE68144-2424
 Phone: 402-333-2304
 Fax: 402-330-1428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for MONTCLAIR HEALTHCARE LLC

NPI Number 1639116064
LBN Legal business name MONTCLAIR HEALTHCARE LLC
Authorized official ROSALYN BURKE - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2006
Last updated 03/18/2015 - About 11 years ago
Identifiers
NE License # 264011
NE Medicaid 10025317200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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