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EDGEWOOD HASTINGS SENIOR LIVING NPI 1194014548


NPI Information

NPI: 1194014548
Provider Name: EDGEWOOD HASTINGS SENIOR LIVING
Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization

CLIA Number: 28D1059768

Address:
2400 W. 12TH ST.
HASTINGS, NE
ZIP 68901
Phone: (402) 462-4633
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EDGEWOOD HASTINGS SENIOR LIVING is an alzheimer center dementia center in Hastings, NE. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. EDGEWOOD HASTINGS SENIOR LIVING NPI is 1194014548. The provider is registered as an organization entity type.

The provider's business location address is:

2400 W. 12TH ST.
HASTINGS, NE
ZIP 68901-501
Phone: (402) 462-4633
Fax: (402) 462-6828

The provider's authorized official is Rex Carlson .
The authorized official title is Chief Financial Officer and has the following contact phone number (701) 738-2000.

The CLIA number assigned to this NPI record is 28D1059768 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2011 and was last updated on 4/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311500000XAlzheimer Center (Dementia Center)28D1059768NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110025787300MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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