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HAVELOCK MANOR.
NPI 1124323126
Assisted Living Facility in Lincoln, NE

Active since January 21, 2011CLIA 28D2003855 · Waiver
6330 PLATTE AVE, LINCOLN, NE 68507(402) 464-2222(402) 464-2225 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Havelock Manor. NPPES

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

HAVELOCK MANOR. (NPI 1124323126) is a healthcare organization registered as an assisted living facility in Lincoln, Nebraska and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Janine Sue Stearns, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124323126
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHAVELOCK MANOR.
Location Address6330 PLATTE AVELincoln, NE 68507-1349
Mailing Address6330 Platte AveLincoln, NE 68507-1349 · (402) 464-2222 · Fax (402) 464-2225
Phone(402) 464-2222
Fax(402) 464-2225
Organization SubpartNo
Authorized OfficialJanine Sue StearnsAdministrator · (402) 464-2222
Enumeration DateJanuary 21, 2011
✔ NPI 1124323126 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 · ALF 335
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.
6330 PLATTE AVE, Lincoln, NE 68507
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Other Identifiers 1

Medicaid100258547-00NE

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 28D2003855

Havelock Manor · Lincoln, NE
Active · expires Nov 20, 2027
CLIA Number28D2003855
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorMs. Janine S. Stearns-Petracek
Laboratory Phone(402) 464-2222
Laboratory LocationHavelock Manor6330 Platte Avenue, Lincoln, NE 68507
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Havelock Manor.'s NPI number?

The NPI number for Havelock Manor. is 1124323126. It was assigned to this organization in the NPPES registry on January 21, 2011.

Where is Havelock Manor. located?

Havelock Manor. is located at 6330 Platte Ave, Lincoln, NE 68507. The listed phone number is (402) 464-2222.

What is Havelock Manor.'s specialty?

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

Does Havelock Manor. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2003855) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Havelock Manor. was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.