BROOKEFIELD PARK
NPI 1457460230
Skilled Nursing Facility in Saint Paul, NE

Active since August 29, 2006CLIA 28D0456027 · Waiver
1405 HERITAGE DR, SAINT PAUL, NE 68873(308) 754-5486(308) 754-5385 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookefield Park NPPES

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

BROOKEFIELD PARK (NPI 1457460230) is a healthcare organization registered as a skilled nursing facility in Saint Paul, Nebraska and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jack Dean Vetter, President, as its authorized official.

NPPES Registry Identity

NPI1457460230
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE OF ST PAUL, INC
Location Address1405 HERITAGE DRSaint Paul, NE 68873-3618
Mailing Address1405 Heritage DrSaint Paul, NE 68873-3618 · (308) 754-5486 · Fax (308) 754-5385
Fax(308) 754-5385
Organization SubpartNo
Authorized OfficialJack Dean VetterPresident · (402) 895-3932
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 17, 2013
NPI 1457460230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NE · 434001
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1405 HERITAGE DR, Saint Paul, NE 68873

Other Names 1

Doing Business AsBrookefield Park

Other Identifiers 4

Medicare NSC3154950001NE
Medicare OSCAR/certification285226NE
Medicare ID-Type Unspecified28D0456027NE · Medicare Clia Waiver
Medicaid=========00NE

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 28D0456027

Brookefield Park · Saint Paul, NE
Active · expires Aug 31, 2026
CLIA Number28D0456027
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMolly L. Welniak
Laboratory Phone(308) 754-5486
Laboratory LocationBrookefield Park1405 Heritage Drive, Saint Paul, NE 68873
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1405 HERITAGE DR
SAINT PAUL, NE 68873
Occupational Therapy Assistant
1405 HERITAGE DR
SAINT PAUL, NE 68873
Occupational Therapy Assistant
1405 HERITAGE DR
SAINT PAUL, NE 68873
Speech-Language Pathologist
1405 HERITAGE DR
SAINT PAUL, NE 68873
Occupational Therapy Assistant
1405 HERITAGE DR
SAINT PAUL, NE 68873

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 Heritage Of St Paul, Inc's NPI number?

The NPI number for Heritage Of St Paul, Inc is 1457460230. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Brookefield Park.

Where is Heritage Of St Paul, Inc located?

Heritage Of St Paul, Inc is located at 1405 Heritage Dr, Saint Paul, NE 68873. The listed phone number is (308) 754-5486.

What is Heritage Of St Paul, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Heritage Of St Paul, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0456027) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heritage Of St Paul, Inc was last updated on July 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.