VSL NORFOLK LLC
NPI 1124558754
Skilled Nursing Facility in Norfolk, NE

NPI Status: Active since June 15, 2017

Contact Information

1203 N 13TH ST
NORFOLK, NE
ZIP 68701
Phone: (402) 371-4991
Fax: (402) 371-7626

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 28D2201103
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 11-17-2026

About VSL NORFOLK LLC

This page provides the complete NPI Profile along with additional information for Vsl Norfolk Llc, a provider established in Norfolk, Nebraska operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1124558754 assigned on June 2017. The practitioner's primary taxonomy code is 314000000X with license number 524004 (NE). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jack D Vetter (Ceo)

NPI
1124558754
Provider Legal Name
VSL NORFOLK LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1203 N 13TH ST NORFOLK, NE 68701
Location Phone
(402) 371-4991
Location Fax
(402) 371-7626
Mailing Address
20220 HARNEY ST ELKHORN, NE 68022
Mailing Phone
(402) 885-6120
Mailing Fax
(402) 371-7626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2017
Last Update Date
07-24-2025
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
524004
License State
NE
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Premier - EPO
  • Elevate by Medica Bronze Share - EPO
  • Elevate by Medica Expanded Bronze Standard - EPO
  • Elevate by Medica Gold $0 Copay PCP Visits - EPO
  • Elevate by Medica Gold Share - EPO
  • Elevate by Medica Gold Standard - EPO
  • Elevate by Medica Silver $0 Copay PCP Visits - EPO
  • Elevate by Medica Silver Share - EPO
  • Elevate by Medica Silver Standard - EPO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
  • Bronze Simple Diabetes - EPO
  • Bronze Simple Diabetes | with Bryan Health - EPO
  • Gold Classic Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACK D VETTER

Authorized Official Title
CEO
Authorized Official Phone
(402) 895-3932

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
524004OTHER (01)NEFACILITY LICENSE

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
28D2201103
Facility Type
Assisted Living Facility
Certificate Effective Date
November 18, 2024
Certificate Expiration Date
November 17, 2026
Laboratory Director
MS. LISA ANDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vsl Norfolk Llc 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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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 1124558754, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 5 → 10 → 1 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 0 + 5 + 1 + 6 + 7 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124558754.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Skilled Nursing Facility
1203 N 13TH ST
NORFOLK, NE 68701
Physical Therapy Assistant
1203 N 13TH ST
NORFOLK, NE 68701
Physical Therapy Assistant
1203 N 13TH ST
NORFOLK, NE 68701
Occupational Therapist
1203 N 13TH ST
NORFOLK, NE 68701
Occupational Therapist
1203 N 13TH ST
NORFOLK, NE 68701
Occupational Therapy Assistant
1203 N 13TH ST
NORFOLK, NE 68701
Physical Therapy Assistant
1203 N 13TH ST
NORFOLK, NE 68701
Physical Therapy Assistant
1203 N 13TH ST
NORFOLK, NE 68701
Occupational Therapy Assistant
1203 N 13TH ST
NORFOLK, NE 68701
Physical Medicine & Rehabilitation
1203 N 13TH ST
NORFOLK, NE 68701
Occupational Therapist
1203 N 13TH ST
NORFOLK, NE 68701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124558754, enumerated as an "organization" on June 15, 2017.

The provider is located at 1203 N 13TH ST NORFOLK, NE 68701 and the phone number is (402) 371-4991.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.