PROVIDENCE PLACE OF HASTINGS
NPI 1871998104
Alzheimer Center (Dementia Center) in Elkhorn, NE

NPI Status: Active since October 29, 2014

Contact Information

19209 TAYLOR CIR
ELKHORN, NE
ZIP 68022
Phone: (402) 834-3285

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  • Organization
  • Alzheimer Center (Dementia Center)
  • CLIA Number: 28D2213148
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-09-2027

About PROVIDENCE PLACE OF HASTINGS

This page provides the complete NPI Profile along with additional information for Providence Place Of Hastings, a provider established in Elkhorn, Nebraska operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1871998104 assigned on October 2014. The practitioner's primary taxonomy code is 311500000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Providence Place Of Hastings. The authorized official of this NPI record is Jason Lange (Manager)

NPI
1871998104
Provider Legal Name
HASTINGS MEMORY CARE, LLC
Other Organization Name
PROVIDENCE PLACE OF HASTINGS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
19209 TAYLOR CIR ELKHORN, NE 68022
Location Phone
(402) 834-3285
Mailing Address
3507 W 12TH STREET HASTINGS, NE 68901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2014
Last Update Date
10-29-2014
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

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

JASON LANGE

Authorized Official Title
MANAGER
Authorized Official Phone
(402) 960-0376

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
28D2213148
Facility Type
Physician Office
Certificate Effective Date
February 10, 2025
Certificate Expiration Date
February 09, 2027
Laboratory Director
DR. PRVARDHAM BIRTHI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Place Of Hastings 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.

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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 1871998104, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 8 + 9 + 1 + 6 + 1 + 0 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1871998104.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871998104, enumerated as an "organization" on October 29, 2014.

The provider is located at 19209 TAYLOR CIR ELKHORN, NE 68022 and the phone number is (402) 834-3285.

Alzheimer Center (Dementia Center) with taxonomy code 311500000X.