Provider Demographics
NPI:1275300865
Name:CRANE GARDENS
Entity Type:Organization
Organization Name:CRANE GARDENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSNO
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:308-675-4000
Mailing Address - Street 1:205 E BUFFALO CIR
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-9502
Mailing Address - Country:US
Mailing Address - Phone:308-380-4634
Mailing Address - Fax:
Practice Address - Street 1:2904 W 5TH ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4158
Practice Address - Country:US
Practice Address - Phone:308-675-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility