Organization Active NPI

Wayne Senior Center

  • Meals Provider
  • Wayne, NE
National Provider Identifier
1477366193
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
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

Updated by the provider on Jan 28, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43274146MedicaidNE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.