Provider Demographics
NPI:1871991018
Name:LEVEN SENIOR HEALTHCARE
Entity type:Organization
Organization Name:LEVEN SENIOR HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CRUNK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:402-209-1664
Mailing Address - Street 1:404 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:FIRTH
Mailing Address - State:NE
Mailing Address - Zip Code:68358-6303
Mailing Address - Country:US
Mailing Address - Phone:402-791-5588
Mailing Address - Fax:855-327-4751
Practice Address - Street 1:404 E 8TH ST
Practice Address - Street 2:
Practice Address - City:FIRTH
Practice Address - State:NE
Practice Address - Zip Code:68358-6303
Practice Address - Country:US
Practice Address - Phone:402-791-5588
Practice Address - Fax:855-327-4751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF 356310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility