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

NPI Status: Active since August 29, 2006

Contact Information

301 N 13TH ST
SAINT EDWARD, NE
ZIP 68660
Phone: (402) 678-2294
Fax: (402) 678-2446

Get Directions Write a Review

  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 28D0715072
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About CLOVERLODGE CARE CENTER

This page provides the complete NPI Profile along with additional information for Cloverlodge Care Center, a provider established in Saint Edward, Nebraska operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1801905641 assigned on August 2006. The practitioner's primary taxonomy code is 314000000X with license number 34002 (NE). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Cloverlodge Care Center. The authorized official of this NPI record is Jack Dean Vetter (President)

NPI
1801905641
Provider Legal Name
HERITAGE OF FAIRBURY-ST EDWARD, INC
Other Organization Name
CLOVERLODGE CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
301 N 13TH ST SAINT EDWARD, NE 68660
Location Phone
(402) 678-2294
Location Fax
(402) 678-2446
Mailing Address
301 N 13TH ST SAINT EDWARD, NE 68660
Mailing Phone
(402) 678-2294
Mailing Fax
(402) 678-2446
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2006
Last Update Date
08-22-2020
Code Navigator

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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
34002
License State
NE
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACK DEAN VETTER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(402) 895-3932

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D0715072
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
KATHERINE SINDELAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cloverlodge Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CLOVERLODGE CARE CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1801905641, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 9 → 18 → 9 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 8 + 0 + 1 + 0 + 6 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1801905641.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801905641, enumerated as an "organization" on August 29, 2006.

The provider is located at 301 N 13TH ST SAINT EDWARD, NE 68660 and the phone number is (402) 678-2294.

Skilled Nursing Facility with taxonomy code 314000000X.