NPIMap

Organization Active NPI

Prairie Pioneer Center

  • In Home Supportive Care Agency
  • Broken Bow, NE
National Provider Identifier
1952113219
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRAIRIE PIONEER CENTER
Doing business as
Prairie Pioneer Center
Practice address
1314 S B St
Broken Bow, NE 68822-1946
Phone
(308) 872-6121
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cathy Larson
Title
Director
Phone
(308) 872-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1314 S B St
Broken Bow, NE 68822-1946

Mailing address

1314 S B St
Broken Bow, NE 68822-1946
Phone (308) 872-6121

Other names 1

  • Prairie Pioneer Center Doing business as

National Provider Directory

National Provider Directory

Locations

1314 S B St
Broken Bow, NE 68822
Phone (308) 872-6121

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1952113219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S B ST",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688221946",
            "telephone_number": "308-872-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S B ST",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688221946",
            "telephone_number": "308-872-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE PIONEER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "308-872-6121"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Pioneer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.