# SILVERCREST FOUNTAIN VIEW INDEPENDENT, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fountain View Senior Living Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760780936
- **Authorized official:** MR. GEORGE A BAKHIT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (402) 596-9033

## Contact information

- **Practice address:** 5710 S 108TH ST, OMAHA, NE 68137-3592
- **Practice address phone:** (402) 596-9033
- **Practice address fax:** (402) 932-3997
- **Mailing address:** 5710 S 108TH ST, OMAHA, NE 68137-3592
- **Mailing address phone:** (402) 596-9033
- **Mailing address fax:** (402) 932-3997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF292 | NE | Yes |
| 311500000X | Alzheimer Center (Dementia Center) | ALF292 | NE | — |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 03/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100253886/00 | — | NE |