OFFBROADWAY APARTMENTS
NPI 1669646410
Assisted Living Facility in Broken Bow, NE
NPI Status: Active since April 14, 2008
Contact Information
403 S 1ST AVE
BROKEN BOW, NE
ZIP 68822
Phone: (308) 872-2522
Fax: (303) 872-2783
- Organization
- Assisted Living Facility
- CLIA Number: 28D1005428
- CLIA Cert. Type: Other
- CLIA Exp. Date: 10-14-2025
About OFFBROADWAY APARTMENTS
This page provides the complete NPI Profile along with additional information for Offbroadway Apartments, a provider established in Broken Bow, Nebraska operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1669646410 assigned on April 2008. The practitioner's primary taxonomy code is 310400000X with license number 218105650 (NE). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Jewel Renee Shea (Administrator)
- NPI
- 1669646410
- Provider Name
- OFFBROADWAY APARTMENTS
- Entity Type
- Organization
- Location Address
- 403 S 1ST AVE BROKEN BOW, NE 68822
- Location Phone
- (308) 872-2522
- Location Fax
- (303) 872-2783
- Mailing Address
- 403 S 1ST AVE BROKEN BOW, NE 68822
- Mailing Phone
- (308) 872-2522
- Mailing Fax
- (303) 872-2783
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-14-2008
- Last Update Date
- 05-06-2008
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 218105650
- License State
- NE
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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
- 28D1005428
- Facility Type
- Other
- Certificate Effective Date
- October 15, 2023
- Certificate Expiration Date
- October 14, 2025
- Laboratory Director
- MS. KAREN K. CONNELY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Offbroadway Apartments 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 6 | 4 | 6 | 4 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 12 | 4 | 12 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 2 + 4 + 1 + 2 + 4 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1669646410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669646410, enumerated in the NPI registry as an "organization" on April 14, 2008
The provider is located at 403 S 1st Ave Broken Bow, Ne 68822 and the phone number is (308) 872-2522
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 28D1005428 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on April 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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