THE WATERFORD AT WILLIAMSBURG
NPI 1164725958
Assisted Living Facility in Lincoln, NE

Active since December 16, 2010
3940 PINE LAKE RD, LINCOLN, NE 68516(402) 423-0000(402) 423-1601 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About THE WATERFORD AT WILLIAMSBURG

This page provides the complete NPI Profile along with additional information for The Waterford At Williamsburg, a provider established in Lincoln, Nebraska operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1164725958 assigned on December 2010. The practitioner's primary taxonomy code is 310400000X with license number ALF183 (NE). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is The Waterford At Williamsburg. The authorized official of this NPI record is Dan A. Klein Sr. (Owner)

NPI
1164725958 Verify this NPI
Provider Legal Name
THE WATERFORD GROUP, INC.
Other Organization Name
THE WATERFORD AT WILLIAMSBURG
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3940 PINE LAKE RD LINCOLN, NE 68516
Location Phone
(402) 423-0000
Location Fax
(402) 423-1601
Mailing Address
1901 SW 5TH ST SUITE 100 LINCOLN, NE 68522
Mailing Phone
(402) 435-3550
Mailing Fax
(402) 435-5070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-16-2010
Last Update Date
12-16-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
ALF183
License State
NE
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAN A. KLEIN SR.

Authorized Official Title
OWNER
Authorized Official Phone
(402) 435-3550

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164725958, enumerated as an "organization" on December 16, 2010.

The provider is located at 3940 PINE LAKE RD LINCOLN, NE 68516 and the phone number is (402) 423-0000.

Assisted Living Facility with taxonomy code 310400000X.