Provider Demographics
NPI:1629360656
Name:STATE OF NEBRASKA, DEPT. OF ADMIN. SERVICES
Entity Type:Organization
Organization Name:STATE OF NEBRASKA, DEPT. OF ADMIN. SERVICES
Other - Org Name:SOLAR COTTAGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FACILITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CORINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-223-6600
Mailing Address - Street 1:3000 LINCOLN ST
Mailing Address - Street 2:SOLAR COTTAGES
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3319
Mailing Address - Country:US
Mailing Address - Phone:402-223-6600
Mailing Address - Fax:402-223-7589
Practice Address - Street 1:3000 LINCOLN ST
Practice Address - Street 2:SOLAR COTTAGES
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3319
Practice Address - Country:US
Practice Address - Phone:402-223-6600
Practice Address - Fax:402-223-7589
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STATE OF NEBRASKA, DEPT. OF ADMIN. SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-10
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEICFMR14315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities