5410 17TH AVE NE OPCO LLC NPI 1619784147

NPI Information

  • NPI: 1619784147
  • Provider Name: 5410 17TH AVE NE OPCO LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: KINSHIP POINTE NORTHRIDGE
  • CLIA Number: 28D1036950
  • Address: 5410 17TH AVE
    KEARNEY, NE
    ZIP 68845
  • Phone: (316) 239-6662

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NPI Details

5410 17TH AVE NE OPCO LLC is an assisted living facility in Kearney, NE. The provider is 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. 5410 17TH AVE NE OPCO LLC NPI is 1619784147. The provider is registered as an organization entity type.
The provider Is Doing Business As Kinship Pointe Northridge.

The provider's business location address is:

5410 17TH AVE
KEARNEY, NE
ZIP 68845-305
Phone: (316) 239-6662

The provider's authorized official is Laura Gamble .
The authorized official title is Senior Account Manager and has the following contact phone number (316) 239-6662.

The CLIA number assigned to this NPI record is 28D1036950 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2024 and was last updated on 12/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 11/21/2025

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