Active NPI
Wayne Senior Center
- Meals Provider
- Wayne, NE
National Provider Identifier
1477366193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Meals Provider
- Legal business name
- WAYNE SENIOR CENTER
- Practice address
- 410 N Pearl St
Wayne, NE 68787-1966 - Phone
- (402) 375-1460
- NPI assigned
- Jan 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Marie Bertrand
- Title
- Manager
- Phone
- (402) 375-1460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | Primary |
Addresses
Primary practice location
410 N Pearl St
Wayne, NE 68787-1966
Mailing address
410 N Pearl St
Wayne, NE 68787-1966
Phone (402) 375-1460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43274146 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
410 N Pearl St
Wayne, NE 68787
Phone (402) 375-1460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1477366193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N PEARL ST",
"city": "WAYNE",
"state": "NE",
"postal_code": "687871966",
"telephone_number": "402-375-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N PEARL ST",
"city": "WAYNE",
"state": "NE",
"postal_code": "687871966",
"telephone_number": "402-375-1460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE SENIOR CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "BERTRAND",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "402-375-1460"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43274146",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.