TR HEPBURN INC
Assisted Living, Mental Illness
Lincoln, Nebraska
Provider NPI: 1962758979
Organization Information:Organization Name: TR HEPBURN INC
Practice Location:
2039 Q ST APT 101 LINCOLN, NE 68503 US
Tel: 402-474-2121 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2039 Q ST APT 101 LINCOLN, NE 68503 US
Tel: 402-474-2121 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness | NE | ALF181 |
N | 343900000X | Transportation Services Non-emergency Medical Transport (VAN) | NE | B1750 |
N | 261QM0850X | Ambulatory Health Care Facilities Clinic/Center | ||
Y | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility | NE | ALF116 |
N | 390200000X | Student Organized Health Care Education/Training Program |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
10025513400 | NE | 05 | |
10026240800 | NE | 05 | |
10026350200 | NE | 05 | |
10026240900 | NE | 05 | |
10026349800 | NE | 05 | |
10026241000 | NE | 05 | |
10026195600 | NE | 05 | |
10026359400 | NE | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin