ALEGENT HEALTH IMMANUEL FONTENELLE HOME – NPI #1154406643
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

ALEGENT HEALTH IMMANUEL FONTENELLE HOME is a skilled nursing facility (SNF) located in OMAHA, NE. NPPES has assigned the NPI number 1154406643 to ALEGENT HEALTH IMMANUEL FONTENELLE HOME on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALEGENT HEALTH IMMANUEL FONTENELLE HOME” is a dba name, the actual legal business name for this organization is ALEGENT HEALTH IMMANUEL MEDICAL CENTER. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 4 years ago on Feb 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALEGENT HEALTH IMMANUEL FONTENELLE HOME below.

NPI Profile for
ALEGENT HEALTH IMMANUEL MEDICAL CENTER

NPI Number
1154406643
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
Doing Business As (dba): ALEGENT HEALTH IMMANUEL FONTENELLE HOME
Primary location
6809 N 68TH PLZ
OMAHA, NE 68152-2117
Phone: (402) 572-2595 Fax:
Mailing address
PO BOX 34640
OMAHA, NE 68134-0640
Phone: (402) 717-7889 Fax:
Organization Subpart
Yes - ALEGENT HEALTH IMMANUEL FONTENELLE HOME is subpart of another organization.
Authorized Official
EVERT KUIPER
CEO -CHI HEALTH
Phone: (402) 343-4420
Updated
Certification Date
Feb 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
NE 264600

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.