CEDARWOOD ASSISTED LIVING FACILITY
NPI 1134412992
Assisted Living Facility in Fairbury, NE

Q: What is Fairbury Assisted Living Facility's NPI number?

The NPI number for Fairbury Assisted Living Facility is 1134412992. It was assigned to this organization in the NPPES registry on May 26, 2011. The provider is doing business as Cedarwood Assisted Living Facility.

Q: What is Fairbury Assisted Living Facility's specialty?

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

Active since May 26, 2011CLIA 28D1020254 · Waiver

828 22ND ST, FAIRBURY, NE 68352(402) 729-3351(402) 729-2102 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cedarwood Assisted Living Facility NPPES

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

CEDARWOOD ASSISTED LIVING FACILITY (NPI 1134412992) is a healthcare organization registered as an assisted living facility in Fairbury, Nebraska and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Chad Jurgens, Secretary, as its authorized official.

NPPES Registry Identity

NPI1134412992

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFAIRBURY ASSISTED LIVING FACILITY

Location Address828 22ND STFairbury, NE 68352-1202

Mailing Address828 22nd StFairbury, NE 68352-1202 · (402) 729-3351 · Fax (402) 729-2102

Phone(402) 729-3351

Fax(402) 729-2102

Organization SubpartNo

Authorized OfficialChad JurgensSecretary · (402) 729-3351

Enumeration DateMay 26, 2011

✔ NPI 1134412992 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 · ALF281

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.

828 22ND ST, Fairbury, NE 68352

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Other Names 1

Doing Business AsCedarwood Assisted Living Facility

Other Identifiers 1

Medicaid100250579-00NE

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 28D1020254

Cedarwood Assisted Living · Fairbury, NE

Active · expires Dec 15, 2027

CLIA Number28D1020254

Laboratory TypeOther

Certificate Effective DateDecember 16, 2025

Certificate Expiration DateDecember 15, 2027

Laboratory DirectorBecky L. Bruce

Laboratory Phone(402) 729-6100

Laboratory LocationCedarwood Assisted Living828 22nd Street, Fairbury, NE 68352

CLIA data matches this NPI record on: Address Name

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 Fairbury Assisted Living Facility's NPI number?

The NPI number for Fairbury Assisted Living Facility is 1134412992. It was assigned to this organization in the NPPES registry on May 26, 2011. The provider is doing business as Cedarwood Assisted Living Facility.

Where is Fairbury Assisted Living Facility located?

Fairbury Assisted Living Facility is located at 828 22nd St, Fairbury, NE 68352. The listed phone number is (402) 729-3351.

What is Fairbury Assisted Living Facility's specialty?

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

Does Fairbury Assisted Living Facility hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1020254) is associated with this NPI, valid through December 15, 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 Fairbury Assisted Living Facility was last updated on May 26, 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.