CENTENNIAL PARK RETIREMENT VILLAGE
NPI 1114929684
Assisted Living Facility in North Platte,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 12, 2005

Contact Information

510 Centennial Circle
North Platte,
Post Code: 69101
Phone: (308) 534-7000
Fax: (308) 534-8216

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Centennial Park Retirement Village in North Platte - Assisted Living Facility

Centennial Park Retirement Village is a Assisted Living Facility in North Platte, . Centennial Park Retirement Village practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Centennial Park Retirement Village is 1114929684. The last update date is 2019-03-26.

Centennial Park Retirement Village's current location address is 510 Centennial Circle, North Platte, . You can contact this provider via phone number (308) 534-7000 and fax number (308) 534-8216. The mailing address for Centennial Park Retirement Village is 510 Centennial Circle, North Platte, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114929684
Provider Legal Name
FIVE STAR QUALITY CARE-NE, LLC
Other Organization Name
CENTENNIAL PARK RETIREMENT VILLAGE
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
510 Centennial Circle, North Platte,
Location Phone
(308) 534-7000
Location Fax
(308) 534-8216
Mailing Address
400 Centre Street, Newton, Massachusetts(MA)
Mailing Phone
617-796-8387
Mailing Fax
617-796-8375
Enumeration Date
2005-08-12
Last Update Date
2019-03-26
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
47-0704192/00
License State
Nebraska (NE)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 310400000X Assisted Living Facility

Assisted Living Facility

47-0704192/11 (Nebraska)
2 310400000X Assisted Living Facility

Assisted Living Facility

()
3 314000000X Skilled Nursing Facility

Skilled Nursing Facility

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
47-0704192/00 MEDICAID (05) Nebraska (NE)
47-0704192/11 MEDICAID (05) Nebraska (NE)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114929684
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418218616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 212418218616
2 + 1 + 2 + 4 + 1 + 8 + 2 + 1 + 8 + 6 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1114929684 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114928017 CAROLE LYNN DENTON
Individual
Counselor, Mental Health 114 PONDEROSA DR
GRAND ISLAND, Nebraska (NE)
308-379-0806
1114927175 KAREN M HIGGINS
Individual
Pediatrics 2444 W FAIDLEY AVE
GRAND ISLAND, Nebraska (NE)
308-382-1100
1114927167 WILLIAM J LAWTON
Individual
Family Medicine PO BOX 550
GRAND ISLAND, Nebraska (NE)
308-382-1100
1114926029 AMY T COREY
Individual
Psychologist 440 REGENCY PARKWAY DR
OMAHA, Nebraska (NE)
402-769-2121
1114924016 LARRY W WOOD
Individual
Ophthalmology 1710 S 70TH ST
LINCOLN, Nebraska (NE)
402-484-9000