Provider Demographics
NPI:1578223889
Name:CENTRAL ASSISTED LIVING, INC.
Entity Type:Organization
Organization Name:CENTRAL ASSISTED LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-380-6148
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68826-0336
Mailing Address - Country:US
Mailing Address - Phone:308-946-5567
Mailing Address - Fax:308-946-3204
Practice Address - Street 1:915 16TH ST
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:NE
Practice Address - Zip Code:68826-5243
Practice Address - Country:US
Practice Address - Phone:308-946-5567
Practice Address - Fax:308-946-3204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport