Organization Name: | GAHC3 OMAHA NE ALF TRS SUB, LLC |
NPI Number: | 1003296732 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANNY PROSKY (AUTHORIZED REPRESENTATIVE) |
Mailing Address: | 5710 S 108th St Omaha |
State: | NE US |
Postal Code: | 681373592 |
Phone Number: | 4025969033 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |