Provider Demographics
NPI:1962397471
Name:VANSLUYTMAN-HABIB, BENITA
Entity type:Individual
Prefix:
First Name:BENITA
Middle Name:
Last Name:VANSLUYTMAN-HABIB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 S 144TH ST UNIT 269
Mailing Address - Street 2:
Mailing Address - City:BOYS TOWN
Mailing Address - State:NE
Mailing Address - Zip Code:68010-7585
Mailing Address - Country:US
Mailing Address - Phone:402-870-9200
Mailing Address - Fax:402-870-9200
Practice Address - Street 1:5203 N 53RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2273
Practice Address - Country:US
Practice Address - Phone:402-870-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion