KINSHIP POINTE NORTHRIDGE
NPI 1619784147
Assisted Living Facility in Kearney, NE

Active since December 17, 2024CLIA 28D1036950 · Waiver
5410 17TH AVE, KEARNEY, NE 68845(316) 239-6662 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kinship Pointe Northridge NPPES

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

KINSHIP POINTE NORTHRIDGE (NPI 1619784147) is a healthcare organization registered as an assisted living facility in Kearney, Nebraska and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Laura Gamble, Senior Account Manager, as its authorized official.

NPPES Registry Identity

NPI1619784147
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name5410 17TH AVE NE OPCO LLC
Location Address5410 17TH AVEKearney, NE 68845-8305
Mailing Address333 S Broadway AveWichita, KS 67202-4300 · (316) 239-6662
Organization SubpartNo
Authorized OfficialLaura GambleSenior Account Manager · (316) 239-6662
Enumeration DateDecember 17, 2024
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
NPI 1619784147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
5410 17TH AVE, Kearney, NE 68845

Other Names 1

Doing Business AsKinship Pointe Northridge

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 28D1036950

5410 17th Ave NE Opco, LLC Dba Kinship Pointe Northridge · Kearney, NE
Active · expires Feb 10, 2027
CLIA Number28D1036950
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorWendy L. Georgina
Laboratory Phone(308) 698-5410
Laboratory Location5410 17th Ave NE Opco, LLC Dba Kinship Pointe Northridge5410 17th Avenue, Kearney, NE 68845
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
5410 17TH AVE
KEARNEY, NE 68845
Assisted Living Facility
5410 17TH AVE
KEARNEY, NE 68845

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 5410 17th Ave NE Opco LLC's NPI number?

The NPI number for 5410 17th Ave NE Opco LLC is 1619784147. It was assigned to this organization in the NPPES registry on December 17, 2024. The provider is doing business as Kinship Pointe Northridge.

Where is 5410 17th Ave NE Opco LLC located?

5410 17th Ave NE Opco LLC is located at 5410 17th Ave, Kearney, NE 68845. The listed phone number is (316) 239-6662.

What is 5410 17th Ave NE Opco LLC's specialty?

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

Does 5410 17th Ave NE Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1036950) is associated with this NPI, valid through February 10, 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 5410 17th Ave NE Opco LLC was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.