# AINSWORTH CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ainsworth Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477867133
- **Authorized official:** GARETT J ROBERTSON (CEO)
- **Authorized official phone:** (801) 296-5105

## Contact information

- **Practice address:** 143 N FULLERTON ST, AINSWORTH, NE 69210-1515
- **Practice address phone:** (402) 387-2500
- **Mailing address:** 143 N FULLERTON ST, AINSWORTH, NE 69210-1515
- **Mailing address phone:** (402) 387-2500
- **Mailing address fax:** (402) 387-0721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 064001 | NE | Yes |

## Other

- **Enumeration date:** 08/04/2010
- **Last updated:** 01/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026017200 | — | NE |