Provider Demographics
NPI:1447492327
Name:NEBRASKA HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:NEBRASKA HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:402-315-4357
Mailing Address - Street 1:9001 ARBOR ST
Mailing Address - Street 2:STE 206
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2066
Mailing Address - Country:US
Mailing Address - Phone:402-315-4357
Mailing Address - Fax:402-884-6901
Practice Address - Street 1:9001 ARBOR ST
Practice Address - Street 2:STE 206
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2066
Practice Address - Country:US
Practice Address - Phone:402-315-4357
Practice Address - Fax:402-884-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA200805251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEHHA200805OtherNEBRASKA STATE LICENSE HHA200805
NE287136Medicare PIN