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BEATRICE STATE DEVELOPMENTAL CENTER
NPI 1114085826
Intermediate Care Facility, Intellectual Disabilities in Beatrice, NE

Active since December 05, 2006CLIA 28D0652620 · Waiver
3000 LINCOLN, BEATRICE, NE 68310(402) 223-6600(402) 223-7589 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2022, Jan 9, 2017 (2 updates tracked since 2017).

About Beatrice State Developmental Center NPPES

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

BEATRICE STATE DEVELOPMENTAL CENTER (NPI 1114085826) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Beatrice, Nebraska and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Corina Harrison, Facility Administrator, as its authorized official.

NPPES Registry Identity

NPI1114085826
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF NEBRASKA DEPT OF ADMIN SERVICES
Location Address3000 LINCOLNBeatrice, NE 68310-3319
Mailing Address3000 LincolnBeatrice, NE 68310-3319 · (402) 223-6600 · Fax (402) 223-7589
Phone(402) 223-6600
Fax(402) 223-7589
Organization SubpartYesParent: Nebraska Dept Of Admin Services
Authorized OfficialCorina HarrisonFacility Administrator · (402) 223-6600
Enumeration DateDecember 5, 2006
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1114085826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 098247BE (NE)
Also ListedClinic/Center · Public Health, State or LocalTaxonomy 261QP0905X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 320003 (NE)
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License ICFMR03 (NE)
3000 LINCOLN, Beatrice, NE 68310
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Other Names 1

Doing Business AsBeatrice State Developmental Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.Insurance ›

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 28D0652620

Beatrice State Developmental Center · Beatrice, NE
Active · expires Aug 31, 2026
CLIA Number28D0652620
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Todd Stull
Laboratory Phone(402) 223-6859
Laboratory LocationBeatrice State Developmental Center3000 Lincoln Blvd, Beatrice, NE 68310
CLIA data matches this NPI record on: Address Name
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.

MRS. JOLENE ANN PIKE APRN
Nurse Practitioner (Adult Health)
3000 LINCOLN
BEATRICE, NE 68310
Gage County (402) 223-6137

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 State Of Nebraska Dept Of Admin Services's NPI number?

The NPI number for State Of Nebraska Dept Of Admin Services is 1114085826. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Beatrice State Developmental Center.

Where is State Of Nebraska Dept Of Admin Services located?

State Of Nebraska Dept Of Admin Services is located at 3000 Lincoln, Beatrice, NE 68310. The listed phone number is (402) 223-6600.

What is State Of Nebraska Dept Of Admin Services's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does State Of Nebraska Dept Of Admin Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0652620) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does State Of Nebraska Dept Of Admin Services accept?

Health plans from Blue Cross and Blue Shield of Nebraska list State Of Nebraska Dept Of Admin Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Nebraska Dept Of Admin Services was last updated on October 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.