Provider Demographics
NPI:1922586858
Name:AKSARBEN VILLAGE SENIOR LIVING
Entity Type:Organization
Organization Name:AKSARBEN VILLAGE SENIOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:EPPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-810-9443
Mailing Address - Street 1:1330 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2256
Mailing Address - Country:US
Mailing Address - Phone:402-810-9443
Mailing Address - Fax:402-810-9446
Practice Address - Street 1:1330 S 70TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2256
Practice Address - Country:US
Practice Address - Phone:402-810-9443
Practice Address - Fax:402-810-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF364310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility