DBA KINGSWOOD COURT
NPI 1154702611
In Home Supportive Care in Superior, NE
NPI Status: Active since June 10, 2015
Contact Information
1005 IDAHO ST
SUPERIOR, NE
ZIP 68978
Phone: (402) 207-1050
Fax: (402) 207-1052
- Organization
- In Home Supportive Care
- CLIA Number: 28D2190599
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 08-16-2026
About DBA KINGSWOOD COURT
This page provides the complete NPI Profile along with additional information for Dba Kingswood Court, a provider established in Superior, Nebraska operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1154702611 assigned on June 2015. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Dba Kingswood Court. The authorized official of this NPI record is Michelle Ann Sorsen (Ceo)
- NPI
- 1154702611
- Provider Legal Name
- KINGSWOOD COURT ASSISTED LIVING, LLC
- Other Organization Name
- DBA KINGSWOOD COURT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1005 IDAHO ST SUPERIOR, NE 68978
- Location Phone
- (402) 207-1050
- Location Fax
- (402) 207-1052
- Mailing Address
- 1005 IDAHO ST SUPERIOR, NE 68978
- Mailing Phone
- (402) 207-1050
- Mailing Fax
- (402) 207-1052
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-10-2015
- Last Update Date
- 03-10-2023
- 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
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | ALF353 (NE) |
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
- 28D2190599
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- August 17, 2024
- Certificate Expiration Date
- August 16, 2026
- Laboratory Director
- MICHELLE SORSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dba Kingswood Court 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 1154702611, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154702611, enumerated as an "organization" on June 10, 2015.
The provider is located at 1005 IDAHO ST SUPERIOR, NE 68978 and the phone number is (402) 207-1050.
In Home Supportive Care with taxonomy code 253Z00000X.
