Provider Demographics
NPI:1154191724
Name:HERITAGE AT FOUNTAIN POINT OPERATING LLC
Entity type:Organization
Organization Name:HERITAGE AT FOUNTAIN POINT OPERATING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:LACROIX
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA, RN
Authorized Official - Phone:402-833-8885
Mailing Address - Street 1:3725 W MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4716
Mailing Address - Country:US
Mailing Address - Phone:402-758-9000
Mailing Address - Fax:402-316-7844
Practice Address - Street 1:3725 W MADISON AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4716
Practice Address - Country:US
Practice Address - Phone:402-758-9000
Practice Address - Fax:402-316-7844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility