HOMAHA SENIOR CARE LLC NPI 1033616081

NPI Information

  • NPI: 1033616081
  • Provider Name: HOMAHA SENIOR CARE LLC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • CLIA Number: 28D2207333
  • Address: 4908 CASS ST
    OMAHA, NE
    ZIP 68132
  • Phone: (402) 249-6136

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NPI Details

HOMAHA SENIOR CARE LLC is a geriatric medicine family medicine in Omaha, NE. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. HOMAHA SENIOR CARE LLC NPI is 1033616081. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4908 CASS ST
OMAHA, NE
ZIP 68132-913
Phone: (402) 249-6136
Fax: (402) 835-5212

The provider's authorized official is Rebecca Mary Wester .
The authorized official title is Owner and has the following contact phone number (402) 249-6136.

The CLIA number assigned to this NPI record is 28D2207333 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 7/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineYes
2261QM2500XClinic/CenterMedical SpecialtyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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