# MONTCLAIR HEALTHCARE LLC

> 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:** Montclair Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639116064
- **Authorized official:** ROSALYN R. BURKE (MANAGER)
- **Authorized official phone:** (402) 333-2304

## Contact information

- **Practice address:** 2525 S 135TH AVE, OMAHA, NE 68144-2424
- **Practice address phone:** (402) 333-2304
- **Practice address fax:** (402) 330-1428
- **Mailing address:** 2525 S 135TH AVE, OMAHA, NE 68144-2424
- **Mailing address phone:** (402) 333-2304
- **Mailing address fax:** (402) 330-1428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 264011 | NE | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 03/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025317200 | — | NE |