PONDEROSA VILLA
NPI 1902860190
Skilled Nursing Facility in Crawford, NE

Active since April 14, 2006CLIA 28D0456520 · Waiver
1ST & PADDOCK, CRAWFORD, NE 69339(308) 665-1224(308) 665-2450 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ponderosa Villa NPPES

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

PONDEROSA VILLA (NPI 1902860190) is a healthcare organization registered as a skilled nursing facility in Crawford, Nebraska and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sandra J Perkins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902860190
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCITY OF CRAWFORD
Location Address1ST & PADDOCKCrawford, NE 69339
Mailing AddressPo Box 526, 1st & PaddockCrawford, NE 69339 · (308) 665-1224 · Fax (308) 665-2450
Fax(308) 665-2450
Organization SubpartNo
Authorized OfficialSandra J PerkinsAdministrator · (308) 665-1224
Enumeration DateApril 14, 2006
Last NPPES UpdateJuly 31, 2008
NPI 1902860190 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 · 214002
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.
1ST & PADDOCK, Crawford, NE 69339

Other Names 1

Doing Business AsPonderosa Villa

Other Identifiers 5

Other060034NE · Blue Cross Blue Shield
Medicare ID-Type Unspecified285250NE
Medicare OSCAR/certification285250NE
Medicaid=========00NE
Medicaid=========-00NE

Accepted Insurance

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 28D0456520

Ponderosa Villa · Crawford, NE
Active · expires Aug 31, 2026
CLIA Number28D0456520
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEd Pelton MD
Laboratory Phone(308) 665-1224
Laboratory LocationPonderosa Villa1st & Paddock, Crawford, NE 69339
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 City Of Crawford's NPI number?

The NPI number for City Of Crawford is 1902860190. It was assigned to this organization in the NPPES registry on April 14, 2006. The provider is doing business as Ponderosa Villa.

Where is City Of Crawford located?

City Of Crawford is located at 1st & Paddock, Crawford, NE 69339. The listed phone number is (308) 665-1224.

What is City Of Crawford's specialty?

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

Does City Of Crawford hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0456520) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does City Of Crawford accept?

Health plans from UnitedHealthcare list City Of Crawford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for City Of Crawford was last updated on July 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.