WESTGATE ASSISTED LIVING
NPI 1013963412
Assisted Living Facility in Omaha, NE

Active since May 26, 2006CLIA 28D0720111 · Waiver
3030 S 80TH ST, OMAHA, NE 68124(402) 391-8566(402) 391-1033 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Westgate Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTGATE ASSISTED LIVING (NPI 1013963412) is a healthcare organization registered as an assisted living facility in Omaha, Nebraska and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Katherine E Potter, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1013963412
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR QUALITY CARE-NE, LLC
Location Address3030 S 80TH STOmaha, NE 68124-3254
Mailing Address400 Centre StNewton, MA 02458-2094 · (617) 796-8387 · Fax (617) 796-8385
Fax(402) 391-1033
Organization SubpartYes
Authorized OfficialKatherine E PotterPresident & Chief Executive Officer · (617) 796-8387
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 26, 2019
NPI 1013963412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in NE · ALF050
Definition
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.
3030 S 80TH ST, Omaha, NE 68124

Other Names 1

Doing Business AsWestgate Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D0720111

Westgate Assisted Living · Omaha, NE
Active · expires Aug 31, 2026
CLIA Number28D0720111
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTracey L. Gabehart
Laboratory Phone(402) 391-8566
Laboratory LocationWestgate Assisted Living3030 S 80th St, Omaha, NE 68124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
3030 S 80TH ST
OMAHA, NE 68124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Five Star Quality Care-Ne, LLC's NPI number?

The NPI number for Five Star Quality Care-Ne, LLC is 1013963412. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Westgate Assisted Living.

Where is Five Star Quality Care-Ne, LLC located?

Five Star Quality Care-Ne, LLC is located at 3030 S 80th St, Omaha, NE 68124. The listed phone number is (402) 391-8566.

What is Five Star Quality Care-Ne, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Five Star Quality Care-Ne, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0720111) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Five Star Quality Care-Ne, LLC was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.