# MID-NEBRASKA LUTHERAN HOME, ASSN.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid-Nebraska Lutheran Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003807942
- **Authorized official:** MRS. LINDSI LUEKEN RN (ADMINISTRATOR)
- **Authorized official phone:** (402) 447-6203

## Contact information

- **Practice address:** 109 N 2ND ST, NEWMAN GROVE, NE 68758-6017
- **Practice address phone:** (402) 447-6203
- **Practice address fax:** (402) 447-6363
- **Mailing address:** PO BOX 459, 109 NORTH 2ND STREET, NEWMAN GROVE, NE 68758-0459
- **Mailing address phone:** (402) 447-6203
- **Mailing address fax:** (402) 447-6244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 524003 | NE | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 12/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10025268700 | SPEECH PROVIDER | NE |
| 05 | — | 28E109 | — | NE |