The Lighthouse At Lakeside Village

LBN: Immanuel Long Term Care
The Lighthouse At Lakeside Village is an health care organization with primary practice located at 17600 Arbor St , Omaha NE 68130-4682. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Immanuel Long Term Care can be contacted via phone (402) 829-9070, or through Gurley, Eric N via phone (402) 829-2900.

Contact Information

Primary practice address
17600 Arbor St Omaha NE 68130-4682
Phone: (402) 829-9070
Fax: (402) 829-9071
Website:
Map and Directions
Authorized official contact:
Name: Gurley, Eric N
Phone: (402) 829-2900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1811335839
LBN Legal business name Immanuel Long Term Care
DBA Doing business as The Lighthouse At Lakeside Village
Authorized official Gurley, Eric N
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2013
Last updated May 30th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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