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COTTONWOOD VILLA
NPI 1396038758
Assisted Living Facility in Ainsworth, NE

Active since May 18, 2011CLIA 28D1019699 · Waiver
450 S MAIN ST, AINSWORTH, NE 69210(402) 387-1000(402) 387-1015 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cottonwood Villa NPPES

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

COTTONWOOD VILLA (NPI 1396038758) is a healthcare organization registered as an assisted living facility in Ainsworth, Nebraska and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Ann F. Fiala, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396038758
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRAIRIE INVESTORS, L.L.C.
Location Address450 S MAIN STAinsworth, NE 69210-1701
Mailing Address450 S Main StAinsworth, NE 69210-1701 · (402) 387-1000 · Fax (402) 387-1015
Phone(402) 387-1000
Fax(402) 387-1015
Organization SubpartNo
Authorized OfficialAnn F. FialaAdministrator · (402) 387-1000
Enumeration DateMay 18, 2011
Last NPPES UpdateDecember 14, 2011
✔ NPI 1396038758 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 · ALF046
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.
450 S MAIN ST, Ainsworth, NE 69210
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Other Names 1

Doing Business AsCottonwood Villa

Other Identifiers 1

Medicaid=========/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 28D1019699

Cottonwood Villa · Ainsworth, NE
Active · expires Nov 24, 2027
CLIA Number28D1019699
Laboratory TypeOther
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorAnn F. Fiala
Laboratory Phone(402) 387-1000
Laboratory LocationCottonwood Villa450 South Main Street, Ainsworth, NE 69210
CLIA data matches this NPI record on: Address Name Phone
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 Prairie Investors, L.L.C.'s NPI number?

The NPI number for Prairie Investors, L.L.C. is 1396038758. It was assigned to this organization in the NPPES registry on May 18, 2011. The provider is doing business as Cottonwood Villa.

Where is Prairie Investors, L.L.C. located?

Prairie Investors, L.L.C. is located at 450 S Main St, Ainsworth, NE 69210. The listed phone number is (402) 387-1000.

What is Prairie Investors, L.L.C.'s specialty?

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

Does Prairie Investors, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1019699) is associated with this NPI, valid through November 24, 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 Prairie Investors, L.L.C. was last updated on December 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.