CLOVERLODGE CARE CENTER
NPI 1801905641
Skilled Nursing Facility in Saint Edward, NE

Active since August 29, 2006CLIA 28D0715072 · Waiver
301 N 13TH ST, SAINT EDWARD, NE 68660(402) 678-2294(402) 678-2446 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cloverlodge Care Center NPPES

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

CLOVERLODGE CARE CENTER (NPI 1801905641) is a healthcare organization registered as a skilled nursing facility in Saint Edward, Nebraska and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jack Dean Vetter, President, as its authorized official.

NPPES Registry Identity

NPI1801905641
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE OF FAIRBURY-ST EDWARD, INC
Location Address301 N 13TH STSaint Edward, NE 68660-4426
Mailing Address301 N 13th StSaint Edward, NE 68660-4426 · (402) 678-2294 · Fax (402) 678-2446
Fax(402) 678-2446
Organization SubpartNo
Authorized OfficialJack Dean VetterPresident · (402) 895-3932
Enumeration DateAugust 29, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1801905641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NE · 34002
Definition
(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.
301 N 13TH ST, Saint Edward, NE 68660

Other Names 1

Doing Business AsCloverlodge Care Center

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 28D0715072

Cloverlodge Care Center · Saint Edward, NE
Active · expires Aug 31, 2026
CLIA Number28D0715072
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKatherine Sindelar
Laboratory Phone(402) 678-2294
Laboratory LocationCloverlodge Care Center301 N 13th Street, Saint Edward, NE 68660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Physical Therapy Assistant
301 N 13TH ST
SAINT EDWARD, NE 68660
Occupational Therapist (Gerontology)
301 N 13TH ST
SAINT EDWARD, NE 68660
Occupational Therapy Assistant
301 N 13TH ST
ST EDWARD, NE 68660
Skilled Nursing Facility
301 N 13TH ST
SAINT EDWARD, NE 68660

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 Heritage Of Fairbury-St Edward, Inc's NPI number?

The NPI number for Heritage Of Fairbury-St Edward, Inc is 1801905641. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Cloverlodge Care Center.

Where is Heritage Of Fairbury-St Edward, Inc located?

Heritage Of Fairbury-St Edward, Inc is located at 301 N 13th St, Saint Edward, NE 68660. The listed phone number is (402) 678-2294.

What is Heritage Of Fairbury-St Edward, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Heritage Of Fairbury-St Edward, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0715072) 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 Heritage Of Fairbury-St Edward, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.