PROVIDENCE MEDICAL CENTER
NPI 1639218472
Hospice Care, Community Based in Wayne, NE
NPI Status: Active since February 06, 2007
Contact Information
803 PROVIDENCE RD STE 103
WAYNE, NE
ZIP 68787
Phone: (402) 375-4288
- Organization
- Hospice Care, Community Based
- Accepts Insurance
About PROVIDENCE MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Providence Medical Center, a provider established in Wayne, Nebraska operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1639218472 assigned on February 2007. The practitioner's primary taxonomy code is 251G00000X with license number HOSPICE 29 (NE). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1639218472
- Provider Legal Name
- PROVIDENCE MEDICAL CENTER
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 803 PROVIDENCE RD STE 103 WAYNE, NE 68787
- Location Phone
- (402) 375-4288
- Mailing Address
- 1200 PROVIDENCE RD WAYNE, NE 68787
- Mailing Phone
- (402) 375-3800
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2007
- Last Update Date
- 03-11-2025
- Code Navigator
According to the Hospice Quality Reporting Program (HQRP) data this facility is other and was certified on 09-12-1995 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.
Location Map
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
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
- License No.
- HOSPICE 29
- License State
- NE
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Vision - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 PCP Visit 1500 Premier Select BlueChoice - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
- HeartlandBlue Gold 1000 Premier Select BlueChoice w/ Adult Vision - EPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue - EPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue PPO - PPO
- HeartlandBlue Gold Standard 2000 Premier Select BlueChoice - EPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Hospice Care Information
The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.
| CMS Certification Number (CCN) | 281520 |
| Ownership Type | Other |
| Medicare Certification Date | 09-12-1995 |
| Quality Measure | Measure Score |
|---|---|
| Average Daily Census Number of patients cared for by a hospice on average each day | 5.0 |
| Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year 1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage | Yes |
| Hospice served at least 1 patient enrolled in Medicare Advantage during one year 1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage | Yes |
| Care Provided in Assisted Living Facility Percentage of days patients received care in an assisted living facility | 18 |
| Care Provided in Home Percentage of days patients received care in home | 34 |
| Care Provided in Inpatient Hospice Facility Percentage of days patients received care in an inpatient hospice | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in Inpatient Hospital Facility Percentage of days patients received care in an inpatient hospital | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in Nursing Facility Percentage of days patients received care in a nursing facility | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Care Provided in All other locations Percentage of days patients received care in other locations | 9 |
| Care Provided in Skilled Nursing Facility Percentage of days patients received care in a skilled nursing facility | 39 |
| Hospice and Palliative Care Treatment Preferences Facility observed rate | 100.0 |
| Beliefs & Values Addressed (if desired by the patient) Facility observed rate | 98.0 |
| Hospice and Palliative Care Pain Screening Facility observed rate | 98.0 |
| Hospice and Palliative Care Pain Assessment Facility observed rate | 100.0 |
| Hospice and Palliative Care Dyspnea Screening Facility observed rate | 100.0 |
| Hospice and Palliative Care Dyspnea Treatment Facility observed rate | 95.0 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen Facility observed rate | 95.2 |
| Hospice and Palliative Care Composite Process Measure Facility observed rate | 90.0 |
| Hospice Visits in the Last Days of Life | 62 |
| Hospice Visits in the Last Days of Life Facility observed rate | 74.2 |
| Hospice Care Index Overall Score Facility observed rate | 10.0 |
| CHC/GIP provided (% days) | 3,287 |
| CHC/GIP provided (% days) Facility observed rate | 0.4 |
| CHC/GIP provided (% days) | 80 |
| Gaps in nursing visits (% elections) | 28 |
| Gaps in nursing visits (% elections) Facility observed rate | 10.7 |
| Gaps in nursing visits (% elections) | 4 |
| Early live discharges (% live discharges) | 8 |
| Early live discharges (% live discharges) Facility observed rate | 12.5 |
| Early live discharges (% live discharges) | 87 |
| Late live discharges (% live discharges) | 8 |
| Late live discharges (% live discharges) Facility observed rate | 37.5 |
| Late live discharges (% live discharges) | 45 |
| Burdensome transitions, Type 1(% live discharges) | 8 |
| Burdensome transitions, Type 1 (% live discharges) Facility observed rate | 0.0 |
| Burdensome transitions, Type 1 (% live discharges) | 19 |
| Burdensome transitions, Type 2(% live discharges) | 8 |
| Burdensome transitions, Type 2 (% live discharges) Facility observed rate | 0.0 |
| Burdensome transitions, Type 2 (% live discharges) | 43 |
| Per-beneficiary spending (U.S. dollars $) | 95 |
| Per-beneficiary spending (U.S. dollars $) Facility observed rate | 6,103 |
| Per-beneficiary spending (U.S. dollars $) | 2 |
| Nurse care minutes per routine home care days (minutes) | 3,267 |
| Nurse care minutes per routine home care days (minutes) Facility observed rate | 19.5 |
| Nurse care minutes per routine home care days (minutes) | 94 |
| Skilled nursing minutes on weekends (% minutes) | 63,825 |
| Skilled nursing minutes on weekends (% minutes) Facility observed rate | 6.9 |
| Skilled nursing minutes on weekends (% minutes) | 37 |
| Visits near death (% decedents) | 84 |
| Visits near death (% decedents) Facility observed rate | 100 |
| Visits near death (% decedents) | 100 |
| Percent of Patients with Cancer Percentage of patients at hospice who had Cancer as their primary diagnosis | 25 |
| Percent of Patients with Circulatory/heart disease Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis | 20 |
| Percent of Patients with Dementia Percentage of patients at hospice who had Dementia as their primary diagnosis | Not Available - Number of patients is too small to report. |
| Percent of Patients with Other Conditions Percentage of patients at hospice who had some other conditions as their primary diagnosis | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Percent of Patients with Respiratory disease Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Percent of Patients with Stroke Percentage of patients at hospice who had Stroke as their primary diagnosis | Not Available - Number of patients is too small to report. |
| Provided Routine Home Care and other levels of care Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level | Yes |
| Provided Routine Home Care only The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level | No |
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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 1639218472, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639218472, enumerated as an "organization" on February 06, 2007.
The provider is located at 803 PROVIDENCE RD STE 103 WAYNE, NE 68787 and the phone number is (402) 375-4288.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska. Please consult your insurance carrier or call the provider to verify.
