Provider Demographics
NPI:1720640980
Name:WHISPERING WINDS COTTAGE, LLC
Entity type:Organization
Organization Name:WHISPERING WINDS COTTAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINI8STRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOZEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-228-6354
Mailing Address - Street 1:628 N 33RD ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3306
Mailing Address - Country:US
Mailing Address - Phone:402-228-6354
Mailing Address - Fax:402-225-8635
Practice Address - Street 1:628 N 33RD ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3306
Practice Address - Country:US
Practice Address - Phone:402-228-6354
Practice Address - Fax:024-228-6358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility