Provider Demographics
NPI:1437155173
Name:PARKVIEW HAVEN NURSING HOME
Entity Type:Organization
Organization Name:PARKVIEW HAVEN NURSING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:402-365-7237
Mailing Address - Street 1:1203 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:DESHLER
Mailing Address - State:NE
Mailing Address - Zip Code:68340-0667
Mailing Address - Country:US
Mailing Address - Phone:402-365-7237
Mailing Address - Fax:402-365-7737
Practice Address - Street 1:1203 4TH STREET
Practice Address - Street 2:
Practice Address - City:DESHLER
Practice Address - State:NE
Practice Address - Zip Code:68340-0667
Practice Address - Country:US
Practice Address - Phone:402-365-7237
Practice Address - Fax:402-365-7737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE285261Medicare Oscar/Certification
NE0156870001Medicare NSC