OrganizationActive
State of Nebraska Dept. of Admin. Services
NPI 1962791764 · Intellectual Disabilities Intermediate Care Facility · Beatrice, NE
Provider details
- NPI number
- 1962791764
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- State of Nebraska Dept. of Admin. Services
- Organization subpart
- Yes
- Authorized official
- Corina Harrison, Facility Administrator(402) 223-6600
- License
- ICFMR07 (NE)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3000 Lincoln St
3104 State Ave
Beatrice, NE 68310-3319
Phone: (402) 223-6600
Fax: (402) 223-7589
Approximate (ZIP-level) locationGet directions
Mailing address
3000 Lincoln St
Beatrice, NE 68310-3319
Other names (DBA / former)
- Doing business as
- 400 State Building
- Doing business as
- 400 State Building
Registry dates
- Enumerated
- 2011-04-01
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.