# MOUNT CARMEL HOME KEENS MEMORIAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mount Carmel Home- Keens Memorial, Mt Carmel Home- Keens Memorial, Mt Carmel Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073577680
- **Authorized official:** TRACY BANDA (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (308) 237-2287

## Contact information

- **Practice address:** 412 W 18TH ST, KEARNEY, NE 68845-5948
- **Practice address phone:** (308) 237-2287
- **Practice address fax:** (308) 237-7264
- **Mailing address:** 412 W 18TH ST, KEARNEY, NE 68845-5948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 074003 | NE | Yes |

## Other

- **Enumeration date:** 04/12/2006
- **Last updated:** 06/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00661 | BLUE CROSS BLUE SHIELD | NE |