# COLONIAL ACRES OF HUMBOLDT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colonial Acres Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285719989
- **Authorized official:** MRS. BRENDA DOUGLAS (BOARD CHAIRMAN)
- **Authorized official phone:** (402) 862-2731

## Contact information

- **Practice address:** 1043 10TH ST, HUMBOLDT, NE 68376-6018
- **Practice address phone:** (402) 862-3123
- **Practice address fax:** (402) 862-2153
- **Mailing address:** 1043 10TH ST, HUMBOLDT, NE 68376-6018
- **Mailing address phone:** (402) 862-3123
- **Mailing address fax:** (402) 862-2153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 664003 | NE | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 06/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025268600 | — | NE |
| 01 | — | 60099 | BLUE CROSS BLUE SHIELD | NE |