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WEL-LIFE AT KEARNEY INC NPI 1740571173


NPI Information

NPI: 1740571173
Provider Name: WEL-LIFE AT KEARNEY, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 28D0949173

Address:
5616 4TH AVE
KEARNEY, NE
ZIP 68845
Phone: (308) 234-9905
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WEL-LIFE AT KEARNEY, INC 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. WEL-LIFE AT KEARNEY, INC NPI is 1740571173. The provider is registered as an organization entity type.

The provider's business location address is:

5616 4TH AVE
KEARNEY, NE
ZIP 68845-890
Phone: (308) 234-9905
Fax: (308) 237-3886

The provider's authorized official is Michael L Moore .
The authorized official title is Cfo and has the following contact phone number (605) 642-7736.

The CLIA number assigned to this NPI record is 28D0949173 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2011 and was last updated on 4/19/2011.


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
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: 4/28/2024

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