Prairie Investors, L.L.C.
Organization Active NPI Assisted Living Facility · Ainsworth, NE
NPI 1396038758 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1396038758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- ALF046 (NE)
- Legal business name
- PRAIRIE INVESTORS, L.L.C.
- Practice address
- 450 S Main St
Ainsworth, NE 69210-1701 - Phone
- (402) 387-1000
- Fax
- (402) 387-1015
- NPI assigned
- May 18, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ann F. Fiala
- Title
- Administrator
- Phone
- (402) 387-1000
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D1019699 | Cottonwood Villa | Certificate of waiver | Nov 24, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALF046 | NE | Yes |
Addresses
Primary practice location
450 S Main St
Ainsworth, NE 69210-1701
Mailing address
450 S Main St
Ainsworth, NE 69210-1701
Phone (402) 387-1000
Other names
- Cottonwood Villa
Other providers in Ainsworth, NE
- Dawn Gay Nahrstedt
- Northland Hearing Centers, Inc.
- Oasis Counseling International
- One2One Ainsworth LLC
- McKenzie Faye Owen
- Rangeland Rehab, P.C.
- Rock County Hospital
- Melissa Ann Rowan
- Sandhills Behavioral Services LLC
- Mallory Sansom
All providers in Ainsworth, NE · Assisted Living Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.