LEGACY ESTATES MANAGEMENT, LP
NPI 1548564552
Assisted Living Facility in Lincoln, NE

Active since January 05, 2011CLIA 28D1020744 · Waiver
7200 VAN DORN ST, LINCOLN, NE 68506(402) 484-8888(402) 484-3859 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Estates Management, Lp NPPES

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

LEGACY ESTATES MANAGEMENT, LP (NPI 1548564552) is a healthcare organization registered as an assisted living facility in Lincoln, Nebraska and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Jay Bohlken, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1548564552
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLEGACY ESTATES MANAGEMENT, LP
Location Address7200 VAN DORN STLincoln, NE 68506-3716
Mailing Address7200 Van Dorn StLincoln, NE 68506-3716 · (402) 484-8888 · Fax (402) 484-3859
Fax(402) 484-3859
Organization SubpartNo
Authorized OfficialJay BohlkenExecutive Director · (402) 484-8888
Enumeration DateJanuary 5, 2011
NPI 1548564552 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 · ALF282
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.
7200 VAN DORN ST, Lincoln, NE 68506

Other Identifiers 1

Medicaid10025084200NE

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 28D1020744

Legacy Estates · Lincoln, NE
Active · expires Dec 30, 2027
CLIA Number28D1020744
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorAmber Davison-Dietrich
Laboratory Phone(402) 484-8888
Laboratory LocationLegacy Estates7200 Van Dorn Street, Lincoln, NE 68506
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 Legacy Estates Management, LP's NPI number?

The NPI number for Legacy Estates Management, LP is 1548564552. It was assigned to this organization in the NPPES registry on January 5, 2011.

Where is Legacy Estates Management, LP located?

Legacy Estates Management, LP is located at 7200 Van Dorn St, Lincoln, NE 68506. The listed phone number is (402) 484-8888.

What is Legacy Estates Management, LP's specialty?

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

Does Legacy Estates Management, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1020744) is associated with this NPI, valid through December 30, 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 Legacy Estates Management, LP was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.