Provider Demographics
NPI:1285739615
Name:FAITH REGIONAL HEALTH SERVICES
Entity type:Organization
Organization Name:FAITH REGIONAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:SINEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-644-7468
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68702-0869
Mailing Address - Country:US
Mailing Address - Phone:402-644-7144
Mailing Address - Fax:402-644-7432
Practice Address - Street 1:1500 KOENIGSTEIN AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3664
Practice Address - Country:US
Practice Address - Phone:402-644-7439
Practice Address - Fax:402-644-7432
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAITH REGIONAL HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-13
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NELTCH025314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00520OtherBCBS SNF
NE5000020OtherUNITED HEALTHCARE SNF
NE0006400415OtherAETNA TCU
NE=========50Medicaid
NE0006400415OtherAETNA TCU
NE=========001OtherTRICARE SNF
NE285211Medicare Oscar/Certification