MADISON HOUSE
NPI 1245604024
Assisted Living Facility in Norfolk, NE

Active since November 17, 2015CLIA 28D2001579 · Waiver
1120 N 1ST ST, NORFOLK, NE 68701(402) 644-4567(402) 644-8111 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2015, Nov 18, 2015 (2 updates tracked since 2015).

About Madison House NPPES

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

MADISON HOUSE (NPI 1245604024) is a healthcare organization registered as an assisted living facility in Norfolk, Nebraska and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Jocelyn Boruch, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1245604024
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSL NORFOLK, LLC
Location Address1120 N 1ST STNorfolk, NE 68701-0904
Mailing Address1120 N 1st StNorfolk, NE 68701-0904 · (402) 644-4567 · Fax (402) 644-8111
Fax(402) 644-8111
Organization SubpartNo
Authorized OfficialJocelyn BoruchExecutive Director · (402) 644-4567
Enumeration DateNovember 17, 2015
Last NPPES UpdateDecember 1, 20152 updates tracked since enumeration
NPI 1245604024 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 · ALF103
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.
1120 N 1ST ST, Norfolk, NE 68701

Other Names 1

Doing Business AsMadison House

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 28D2001579

Madison House · Norfolk, NE
Active · expires Oct 17, 2026
CLIA Number28D2001579
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorMs. Angela Korth
Laboratory Phone(402) 644-4567
Laboratory LocationMadison House1120 North 1st Street, Norfolk, NE 68701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
1120 N 1ST ST
NORFOLK, NE 68701

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 Sl Norfolk, LLC's NPI number?

The NPI number for Sl Norfolk, LLC is 1245604024. It was assigned to this organization in the NPPES registry on November 17, 2015. The provider is doing business as Madison House.

Where is Sl Norfolk, LLC located?

Sl Norfolk, LLC is located at 1120 N 1st St, Norfolk, NE 68701. The listed phone number is (402) 644-4567.

What is Sl Norfolk, LLC's specialty?

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

Does Sl Norfolk, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2001579) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sl Norfolk, LLC was last updated on December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.