EDGEWOOD HASTINGS SENIOR LIVING
NPI 1194014548
Alzheimer Center (Dementia Center) in Hastings, NE

NPI Status: Active since April 06, 2011

Contact Information

2400 W. 12TH ST.
HASTINGS, NE
ZIP 68901
Phone: (402) 462-4633
Fax: (402) 462-6828

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  • Organization
  • Alzheimer Center (Dementia Center)
  • CLIA Number: 28D1059768
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 10-04-2026

About EDGEWOOD HASTINGS SENIOR LIVING

This page provides the complete NPI Profile along with additional information for Edgewood Hastings Senior Living, a provider established in Hastings, Nebraska operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1194014548 assigned on April 2011. The practitioner's primary taxonomy code is 311500000X with license number 28D1059768 (NE). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Rex Carlson Cpa (Chief Financial Officer)

NPI
1194014548
Provider Name
EDGEWOOD HASTINGS SENIOR LIVING
Entity Type
Organization
Location Address
2400 W. 12TH ST. HASTINGS, NE 68901
Location Phone
(402) 462-4633
Location Fax
(402) 462-6828
Mailing Address
2400 W. 12TH ST. HASTINGS, NE 68901
Mailing Phone
(402) 462-4633
Mailing Fax
(402) 462-6828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2011
Last Update Date
04-06-2011
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License No.
28D1059768
License State
NE
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Insurance Plans Accepted

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

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

MR. REX CARLSON CPA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(701) 738-2000

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
10025787300MEDICAID (05)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
28D1059768
Facility Type
Other
Certificate Effective Date
October 05, 2024
Certificate Expiration Date
October 04, 2026
Laboratory Director
CAROL WURDEMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Edgewood Hastings Senior Living 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 1194014548, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 9 → 18 → 9 0 → 0 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 0 + 1 + 8 + 5 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1194014548.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194014548, enumerated as an "organization" on April 06, 2011.

The provider is located at 2400 W. 12TH ST. HASTINGS, NE 68901 and the phone number is (402) 462-4633.

Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.