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HICKORY VILLA
NPI 1083754881
Assisted Living Facility in Omaha, NE

Active since February 08, 2007CLIA 28D0964256 · Waiver
7315 HICKORY ST, OMAHA, NE 68124(402) 392-0767(402) 392-2371 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hickory Villa NPPES

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

HICKORY VILLA (NPI 1083754881) is a healthcare organization registered as an assisted living facility in Omaha, Nebraska and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Julie Callender, Sr. Vice President, as its authorized official.

NPPES Registry Identity

NPI1083754881
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBETHESDA FOUNDATION
Location Address7315 HICKORY STOmaha, NE 68124-1677
Mailing Address7315 Hickory StOmaha, NE 68124-1677 · (402) 392-0767 · Fax (402) 392-2371
Phone(402) 392-0767
Fax(402) 392-2371
Organization SubpartNo
Authorized OfficialJulie CallenderSr. Vice President · (719) 481-5481
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083754881 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 · ALF080
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.
7315 HICKORY ST, Omaha, NE 68124
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Other Names 1

Other NameHickory Villa

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D0964256

Hickory Villa · Omaha, NE
Active · expires Aug 19, 2027
CLIA Number28D0964256
Laboratory TypeOther
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorSherri Hinkel
Laboratory Phone(402) 392-0767
Laboratory LocationHickory Villa7315 Hickory Street, Omaha, NE 68124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethesda Foundation's NPI number?

The NPI number for Bethesda Foundation is 1083754881. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as Hickory Villa.

Where is Bethesda Foundation located?

Bethesda Foundation is located at 7315 Hickory St, Omaha, NE 68124. The listed phone number is (402) 392-0767.

What is Bethesda Foundation's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bethesda Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0964256) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bethesda Foundation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.