Provider Demographics
NPI:1285008953
Name:SL BEATRICE, LLC
Entity Type:Organization
Organization Name:SL BEATRICE, LLC
Other - Org Name:HOMESTEAD HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISHAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-223-3287
Mailing Address - Street 1:2300 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3366
Mailing Address - Country:US
Mailing Address - Phone:402-223-3287
Mailing Address - Fax:402-223-3346
Practice Address - Street 1:2300 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3366
Practice Address - Country:US
Practice Address - Phone:402-223-3287
Practice Address - Fax:402-223-3346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF083310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility