1. Home
  2. Directory
  3. Nebraska
  4. Wayne
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

NORTHSTAR SERVICES
NPI 1801555362
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wayne, NE

Active since December 13, 2021CLIA 28D1038215 · Waiver
1202 E 14TH ST, WAYNE, NE 68787(402) 375-2881 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2025, Dec 13, 2021 (2 updates tracked since 2021).

About Northstar Services NPPES

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

NORTHSTAR SERVICES (NPI 1801555362) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wayne, Nebraska and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through March 13, 2027, maintains 9 additional practice locations, and lists Tracey M Niemann, Accounting Support Specialist, as its authorized official.

NPPES Registry Identity

NPI1801555362
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNORTHSTAR SERVICES
Location Address1202 E 14TH STWayne, NE 68787-1247
Mailing AddressPo Box 280Wayne, NE 68787-0280 · (402) 750-7018 · Fax (402) 375-2703
Phone(402) 375-2881
Organization SubpartNo
Authorized OfficialTracey M NiemannAccounting Support Specialist · (402) 750-7018
Enumeration DateDecember 13, 2021
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1801555362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
1202 E 14TH ST, Wayne, NE 68787
Open in Google Maps ↗

Secondary Practice Locations 9

Location 13220 Plaza DrSouth Sioux City, NE 68776-3191 · Phone (402) 494-2018 · Fax (402) 494-2010
Location 2312 N 7th StNorfolk, NE 68701-4047 · Phone (402) 371-0332 · Fax (402) 371-0712
Location 32866 48th AveColumbus, NE 68601-2159 · Phone (402) 564-1465 · Fax (402) 564-2994
Location 41033 E 23rd St Ste 7Fremont, NE 68025-2448 · Phone (402) 721-7000 · Fax (402) 727-0660
Location 5318 E Hwy # 20O'Neill, NE 68763-2145 · Phone (402) 336-4405 · Fax (402) 336-2703
Location 6306 W Main StBloomfield, NE 68718-4034 · Phone (402) 373-4358 · Fax (402) 373-2748
Location 7120 N Colfax StWest Point, NE 68788-1559 · Phone (402) 372-6928 · Fax (402) 372-6982
Location 8209 S Main StWayne, NE 68787-1946 · Phone (402) 375-4884 · Fax (402) 375-5331
Location 9324 S Hall StreetValentine, NE 69201 · Phone (402) 376-2900 · Fax (402) 376-2686

Other Identifiers 1

Medicaid080419376NE

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 28D1038215

Northstar Services · Wayne, NE
Active · expires Mar 13, 2027
CLIA Number28D1038215
Laboratory TypeOther
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorDonna K. Nickel
Laboratory Phone(402) 375-2880
Laboratory LocationNorthstar Services1202 E 14th Street, Wayne, NE 68787
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.

ERIN MARIE RAABE
Day Training/Habilitation Specialist
1202 E 14TH ST
WAYNE, NE 68787
Wayne County (402) 375-2880
ALAN ZAVODNY
Day Training/Habilitation Specialist
1202 E 14TH ST
WAYNE, NE 68787
Wayne County (402) 375-2881

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 Northstar Services's NPI number?

The NPI number for Northstar Services is 1801555362. It was assigned to this organization in the NPPES registry on December 13, 2021.

Where is Northstar Services located?

Northstar Services is located at 1202 E 14th St, Wayne, NE 68787. The listed phone number is (402) 375-2881.

What is Northstar Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Northstar Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1038215) is associated with this NPI, valid through March 13, 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 Northstar Services was last updated on February 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.