HILLCREST SHADOW LAKE, LLC
NPI 1245997436
Skilled Nursing Facility in Papillion, NE
About Hillcrest Shadow Lake, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HILLCREST SHADOW LAKE, LLC (NPI 1245997436), doing business as Hillcrest Shadow Lake, is a healthcare organization registered as a skilled nursing facility in Papillion, Nebraska and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jolene L Mathison Roberts, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
(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.
Other Names 1
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 28D0453562
Hillcrest Shadow Lake LLC Dba Hillcrest Shadow Lake · Papillion, NEOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hillcrest Shadow Lake, LLC's NPI number?
The NPI number for Hillcrest Shadow Lake, LLC is 1245997436. It was assigned to this organization in the NPPES registry on November 22, 2021. The provider is doing business as Hillcrest Shadow Lake.
Where is Hillcrest Shadow Lake, LLC located?
Hillcrest Shadow Lake, LLC is located at 1507 E Gold Coast Rd, Papillion, NE 68046. The listed phone number is (402) 339-6010.
What is Hillcrest Shadow Lake, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Hillcrest Shadow Lake, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 28D0453562) is associated with this NPI, valid through August 31, 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 Hillcrest Shadow Lake, LLC was last updated on November 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.