FALLBROOK ASSISTED LIVING, LLC
NPI 1255802468
Assisted Living Facility in Lincoln, NE
About Fallbrook Assisted Living, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FALLBROOK ASSISTED LIVING, LLC (NPI 1255802468), doing business as Fallbrook Assisted Living And Memory Care, is a healthcare organization registered as an assisted living facility in Lincoln, Nebraska and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Jason Lange, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 28D2161707
Fallbrook Assisted Living And Memory Care · Lincoln, NEFrequently 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 Fallbrook Assisted Living, LLC's NPI number?
The NPI number for Fallbrook Assisted Living, LLC is 1255802468. It was assigned to this organization in the NPPES registry on December 16, 2018. The provider is doing business as Fallbrook Assisted Living and Memory Care.
Where is Fallbrook Assisted Living, LLC located?
Fallbrook Assisted Living, LLC is located at 6600 Juliet Court, Lincoln, NE 68521. The listed phone number is (402) 261-9050.
What is Fallbrook Assisted Living, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Fallbrook Assisted Living, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 28D2161707) is associated with this NPI, valid through February 7, 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 Fallbrook Assisted Living, LLC was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Fallbrook Assisted Living, Llc · NPI 1255802468
Assisted Living Facility organization in Lincoln, Nebraska. Organization record, active in the CMS NPPES registry since December 16, 2018.
## Identity
- **NPI:** 1255802468 (Entity type: Organization)
- **Enumerated:** December 16, 2018
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Fallbrook Assisted Living and Memory Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jason Lange, MEMBER
## Practice location
- **Address:** 6600 JULIET COURT, Lincoln, NE 68521
- **Phone:** (402) 261-9050
## Record status
- **NPPES last updated:** December 16, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255802468) · Data from the CMS NPPES public registry.