OrganizationActive
Versatile Support Services
NPI 1679372817 · Intellectual Disabilities Intermediate Care Facility · Columbus, NE
Provider details
- NPI number
- 1679372817
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Eve Kronberg, Quality Assurance Coordinator(402) 562-6492
Specialties & taxonomies
Nursing & Custodial Care Facilities
Agencies
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
- Day Training/Habilitation Specialist373H00000X
Nursing Service Related Providers
Practice location
2316 9th St
Columbus, NE 68601-5704
Phone: (402) 562-6492
Fax: (402) 562-8774
Approximate (ZIP-level) locationGet directions
Mailing address
2316 9th St
Columbus, NE 68601-5704
Registry dates
- Enumerated
- 2025-03-11
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.