Centennial Park Retirement Village
LBN: Five Star Quality Care-Ne, Llc
Centennial Park Retirement Village is an health care organization with primary practice located at 510 Centennial Circle , North Platte NE 69101-6586. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Five Star Quality Care-Ne, Llc can be contacted via phone (308) 534-7000, or through Potter, Katherine E via phone (617) 796-8387.
Contact Information
Primary practice address
510 Centennial Circle
North Platte NE 69101-6586
Phone: (308) 534-7000
Fax: (308) 534-8216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 47-0704192/11 | Nebraska |
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 47-0704192/00 | Nebraska |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1114929684 |
|---|---|
| LBN Legal business name | Five Star Quality Care-Ne, Llc |
| DBA Doing business as | Centennial Park Retirement Village |
| Authorized official | Potter, Katherine E |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Mar 26th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114929684 | NPPES |
| Nebraska | MEDICAID | 47-0704192/11 | |
| Nebraska | MEDICAID | 47-0704192/00 |
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