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PINKERTON ENTERPRISES NORTH PLATTE NPI 1801176789


NPI Information

NPI: 1801176789
Provider Name: PINKERTON ENTERPRISES NORTH PLATTE

Doing Business As: LIBERTY HOUSE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 28D2197806

Address:
420 W 4TH ST
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 534-1796
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PINKERTON ENTERPRISES NORTH PLATTE is an assisted living facility in North Platte, 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. PINKERTON ENTERPRISES NORTH PLATTE NPI is 1801176789. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty House.

The provider's business location address is:

420 W 4TH ST
NORTH PLATTE, NE
ZIP 69101-829
Phone: (308) 534-1796
Fax: (308) 534-7884

The provider's authorized official is Rachel Pinkerton .
The authorized official title is Owner and has the following contact phone number (308) 530-2688.

The CLIA number assigned to this NPI record is 28D2197806 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2011 and was last updated on 8/23/2011.


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 FacilityALF 283NEBRASKAYes

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
110025722400MEDICAIDNEBRASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.