Provider Demographics
NPI:1477950012
Name:NORTHFIELD RETIREMENT COMMUNITIES, INC
Entity Type:Organization
Organization Name:NORTHFIELD RETIREMENT COMMUNITIES, INC
Other - Org Name:NORTHFIELD VILLA HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHAINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STRICKER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:308-672-9889
Mailing Address - Street 1:2100 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-1893
Mailing Address - Country:US
Mailing Address - Phone:308-632-4342
Mailing Address - Fax:308-630-8294
Practice Address - Street 1:2100 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-1893
Practice Address - Country:US
Practice Address - Phone:308-632-4342
Practice Address - Fax:308-630-8294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF113310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility