Randolph Healthcare, Inc
Randolph Healthcare, Inc is an Assisted Living Facility in Randolph, Nebraska. Licensed in Nebraska. Registered with an NPI since 2011.
- Licensed in
- NE
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
811 S Main StRandolph, NE 68771-1706
Phone: (402) 337-0444
Fax: (402) 337-1746
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X (NE) |
|---|---|
| Assisted Living Facility | Taxonomy 310400000X (NE) |
Record details
| NPI number | 1568755577 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Soon Burnam — Treasurer · (949) 540-1249 |
| Other names | Colonial Manor Of Randolph; Colonial Manor Of Randolph |
| NPI enumerated | May 24, 2011 |
| Last updated in NPPES | February 23, 2021 |
| Certification date | February 23, 2021 |
| Mailing address | 811 S Main St, Randolph, NE 68771-1706 |
Clinicians affiliated with this facility
- Mr. Kevin D. Lauck, PA-C Physician Assistant · Bloomfield, NE
- Samuel J. Recob, MD Family Medicine Physician · Laurel, NE
- Alicia Anne Vandewalle, APRN Family Nurse Practitioner · Randolph, NE