SUNCREST HOSPICE NEBRASKA LLC NPI 1205460037

NPI Information

NPI: 1205460037
Provider Name: SUNCREST HOSPICE NEBRASKA LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 28D2237905

Address:
1125 S 103RD ST STE 100
OMAHA, NE
ZIP 68124
Phone: (402) 509-7655
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SUNCREST HOSPICE NEBRASKA LLC is a hospice care community based in Omaha, NE. SUNCREST HOSPICE NEBRASKA LLC NPI is 1205460037. The provider is registered as an organization entity type.

The provider's business location address is:

1125 S 103RD ST STE 100
OMAHA, NE
ZIP 68124-071
Phone: (402) 509-7655
Fax: (402) 939-8261

The provider's authorized official is Tyler Godfrey .
The authorized official title is Cfo and has the following contact phone number (801) 849-0486.

The CLIA number assigned to this NPI record is 28D2237905 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2020 and was last updated on 5/31/2023.

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
1	251G00000X	Hospice Care, Community Based				Yes

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: 4/28/2024

NPI Synchronization or Removal

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