THE LIGHTHOUSE AT LAKESIDE VILLAGE
NPI 1811335839
Skilled Nursing Facility in Omaha, NE
Overall Rating: 5 out of 5 stars
NPI Status: Active since June 12, 2013
Contact Information
17600 ARBOR ST
OMAHA, NE
ZIP 68130
Phone: (402) 829-9070
Fax: (402) 829-9071
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 28D2235805
- CLIA Cert. Type: Other - HLTH CARE PRVDR HOME OFFI
- CLIA Exp. Date: 09-12-2025
About THE LIGHTHOUSE AT LAKESIDE VILLAGE
This page provides the complete NPI Profile along with additional information for The Lighthouse At Lakeside Village, a provider established in Omaha, Nebraska operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1811335839 assigned on June 2013. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as The Lighthouse At Lakeside Village. The authorized official of this NPI record is Mr. Eric N Gurley (President And Ceo)
- NPI
- 1811335839
- Provider Legal Name
- IMMANUEL LONG TERM CARE
- Other Organization Name
- THE LIGHTHOUSE AT LAKESIDE VILLAGE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 17600 ARBOR ST OMAHA, NE 68130
- Location Phone
- (402) 829-9070
- Location Fax
- (402) 829-9071
- Mailing Address
- 1044 N 115TH ST STE 500 OMAHA, NE 68154
- Mailing Phone
- (402) 829-2931
- Mailing Fax
- (402) 829-9071
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-12-2013
- Last Update Date
- 05-30-2019
- Code Navigator
According to the Nursing Home Compare program data, The Lighthouse At Lakeside Village has a much above average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 5 out of 5 stars provide a snapshot of this nursing home quality.
Location Map
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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 313M00000X | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze 5000 Blueprint Health w/ Adult Vision - EPO
- HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze Standard 7500 Blueprint Health - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 Deductible NEtwork Blue - EPO
- HeartlandBlue Gold $0 Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold Standard 1500 Blueprint Health - EPO
- HeartlandBlue Gold Standard 1500 NEtwork Blue - EPO
- HeartlandBlue Gold Standard 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue - EPO
- HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue PPO - PPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Nursing Home Quality Information
The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.
| Overall Quality Rating | - 5 out of 5 stars - Much Above Average |
| The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures. | |
| Health Inspection Rating | Not Available |
| The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections. | |
| Quality Measures Rating | - 5 out of 5 stars - Much Above Average |
| The quality measures star rating is based on data from a select set of clinical measures. | |
| Long-Stay Quality Measures Rating | - 4 out of 5 stars - Above Average |
| The long-stay quality of care rating is based on the quality of care delivered to long-term residents only. | |
| Short-Stay Quality Measures Rating | - 5 out of 5 stars - Much Above Average |
| The short-stay quality of care rating is based on the quality of care delivered to temporary residents only. | |
| Staffing Rating | - 5 out of 5 stars - Much Above Average |
| The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides. | |
| Nurse Aide Staffing Hours | 3.21 hours per resident per day |
| Nurse aide hours per resident per day. Higher number of hours are better. | |
| RN Staffing Hours | 1.61 hours per resident per day |
| Resgistered nurse hours per resident per day. Higher number of hours are better. | |
| RN Staff Turnover | 25% |
| Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year. | |
| Ownership Type | Non profit - Corporation |
| Is the facility private for profit, not-for profit or publicly owned. | |
| Number of Certified Beds | 36 beds |
| Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs. | |
| Residents per Day | 31 residents |
| Average number of residents living in the facility per day. | |
| Automatic Sprinkler Systems | Yes |
| Does the facility have automatic sprinkler systems in all required areas? | |
| Facility Reported Incidents | 0 incidents |
| Number of facility-reported incidents in the past 3 years. A lower number is better. | |
| Substantiated Complaints | 0 complaints |
| Number of substantiated complaints in the past 3 years. A lower number is better. | |
| Citations from Inspections | 0 citations after infection control inspection |
| Number of citations from infection control inspections in the past 3 years. A lower number is better. | |
| Total Number of Penalties | 0 penalties from a serious health, fire safety or long-term unresolved citation |
| The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time. | |
| Number of Fines | 0 fines |
| Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare. | |
| Amount of Fines | $0.00 |
| Total monetary amount of fine imposed on the facility in the last 3 years. | |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D2235805
- Facility Type
- Other - HLTH CARE PRVDR HOME OFFI
- Certificate Effective Date
- September 13, 2023
- Certificate Expiration Date
- September 12, 2025
- Laboratory Director
- DR. DEVIN FOX
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Lighthouse At Lakeside Village to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for THE LIGHTHOUSE AT LAKESIDE VILLAGE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 1 | 1 | 3 | 3 | 5 | 8 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 6 | 3 | 10 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 6 + 3 + 1 + 0 + 8 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1811335839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417112160 | DR. JILL S HEWETT DPT Individual | Physical Therapist | 17600 ARBOR ST OMAHA, NE 68130 (402) 717-0210 |
| 1295100618 | JORDAN COUGHLIN PTA Individual | Physical Therapist | 17600 ARBOR ST OMAHA, NE 68130 (402) 717-0210 |
| 1427204783 | ALEGENT HEALTH Organization | Skilled Nursing Facility | 17600 ARBOR ST OMAHA, NE 68130 (402) 343-4328 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811335839, enumerated in the NPI registry as an "organization" on June 12, 2013
The provider is located at 17600 Arbor St Omaha, Ne 68130 and the phone number is (402) 829-9070
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 28D2235805 for a "other - hlth care prvdr home offi" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
The Overall Quality Rating for this nursing home is 5 out of 5 stars which is much above average when compared to other nursing homes. The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
This NPI record was last updated on June 12, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.