KINDRED CENTER FOR INDEPENDENCE L.C. NPI 1790501203

NPI Information

NPI: 1790501203
Provider Name: KINDRED CENTER FOR INDEPENDENCE L.C.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
:
Address: 1201 GOLDEN GATE DR
PAPILLION, NE
ZIP 68046
Phone: (531) 600-3934

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NPI Details

KINDRED CENTER FOR INDEPENDENCE L.C. is a community based residential treatment facility, intellectual and/or developmental disabilities in Papillion, NE. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. KINDRED CENTER FOR INDEPENDENCE L.C. NPI is 1790501203. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1201 GOLDEN GATE DR
PAPILLION, NE
ZIP 68046-837
Phone: (531) 600-3934

The provider's authorized official is Gildas Agbassou .
The authorized official title is Director and has the following contact phone number (531) 600-3934.

The enumeration date for this NPI number is 11/29/2024 and was last updated on 3/26/2025.

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	Primary
1	251S00000X	Community/Behavioral Health	No
2	253Z00000X	In Home Supportive Care	No
3	315P00000X	Intermediate Care Facility, Intellectual Disabilities	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95915990	MEDICAID	NEBRASKA

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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