PRAIRIE WINDS
NPI 1063554962
Assisted Living Facility in Atkinson, NE
- Organization
- Assisted Living Facility
- CLIA Number: 28D2107039
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 01-04-2028
About PRAIRIE WINDS
This page provides the complete NPI Profile along with additional information for Prairie Winds, a provider established in Atkinson, Nebraska operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1063554962 assigned on February 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Prairie Winds. The authorized official of this NPI record is Mrs. Raye Nae Nylander (Vice President, Cfo)
- NPI
- 1063554962 Verify this NPI
- Provider Legal Name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Other Organization Name
- PRAIRIE WINDS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 413 E NEELY ST ATKINSON, NE 68713
- Location Phone
- (402) 925-2099
- Location Fax
- (402) 925-2113
- Mailing Address
- 4800 W 57TH ST SIOUX FALLS, SD 57108
- Mailing Phone
- (605) 362-3100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2007
- Last Update Date
- 08-22-2020
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Location Map
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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D2107039
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- January 05, 2026
- Certificate Expiration Date
- January 04, 2028
- Laboratory Director
- MS. MICHELLE DVORAK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prairie Winds to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063554962, enumerated as an "organization" on February 14, 2007.
The provider is located at 413 E NEELY ST ATKINSON, NE 68713 and the phone number is (402) 925-2099.
Assisted Living Facility with taxonomy code 310400000X.
