CRETE AREA MECICAL CENTER LTC
NPI 1104815778
Custodial Care Facility - Adult Care Home in Crete, NE
NPI Status: Active since October 17, 2005
Contact Information
1540 GROVE AVE
CRETE, NE
ZIP 68333
Phone: (402) 826-6867
Fax: (402) 826-6827
- Organization
- Custodial Care Facility
- Adult Care Home
- CLIA Number: 28D0679423
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-03-2026
About CRETE AREA MECICAL CENTER LTC
This page provides the complete NPI Profile along with additional information for Crete Area Mecical Center Ltc, a provider established in Crete, Nebraska operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1104815778 assigned on October 2005. The practitioner's primary taxonomy code is 311ZA0620X with license number LTCH009 (NE). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Carol Kohles Rn (Don/asst. Adm)
- NPI
- 1104815778
- Provider Name
- CRETE AREA MECICAL CENTER LTC
- Entity Type
- Organization
- Location Address
- 1540 GROVE AVE CRETE, NE 68333
- Location Phone
- (402) 826-6867
- Location Fax
- (402) 826-6827
- Mailing Address
- 1540 GROVE AVE PO BOX 220 CRETE, NE 68333
- Mailing Phone
- (402) 826-6867
- Mailing Fax
- (402) 826-6827
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-17-2005
- Last Update Date
- 08-22-2020
- Code Navigator
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
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- LTCH009
- License State
- NE
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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
- 28D0679423
- Facility Type
- Hospital
- Certificate Effective Date
- May 04, 2024
- Certificate Expiration Date
- May 03, 2026
- Laboratory Director
- DR. BRIAN D. TOALSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Crete Area Mecical Center Ltc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104815778, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104815778, enumerated as an "organization" on October 17, 2005.
The provider is located at 1540 GROVE AVE CRETE, NE 68333 and the phone number is (402) 826-6867.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
