1. Home
  2. Directory
  3. Nebraska
  4. Lincoln
  5. Assisted Living Facility
  6. NPI Profile

GRAND LODGE AT THE PRESERVE
NPI 1063465516
Assisted Living Facility in Lincoln, NE

Active since May 18, 2006
4400 S 80TH ST, LINCOLN, NE 68516(402) 489-8003(402) 489-9956 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grand Lodge At The Preserve NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND LODGE AT THE PRESERVE (NPI 1063465516) is a healthcare organization registered as an assisted living facility in Lincoln, Nebraska and active in the NPI registry since May 2006. The organization lists Scott Harrison, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1063465516
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLIFESPACE COMMUNITIES INC
Location Address4400 S 80TH STLincoln, NE 68516-4456
Mailing Address4400 S 80th StLincoln, NE 68516-4456 · (402) 489-8003 · Fax (402) 489-9956
Phone(402) 489-8003
Fax(402) 489-9956
Organization SubpartYes
Authorized OfficialScott HarrisonPresident/ceo · (515) 288-5805
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 4, 2010
✔ NPI 1063465516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NE · ALF286
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

4400 S 80TH ST, Lincoln, NE 68516
Open in Google Maps ↗

Other Names 1

Doing Business AsGrand Lodge At The Preserve

Frequently Asked Questions

What is LIFESPACE COMMUNITIES INC's NPI number?

The NPI number assigned to this healthcare provider is 1063465516, enumerated as an "organization" on May 18, 2006.

Where is the provider located?

The provider is located at 4400 S 80TH ST LINCOLN, NE 68516 and the phone number is (402) 489-8003.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.