SUCCOR HOME CARE LLC NPI 1760201867

NPI Information

  • NPI: 1760201867
  • Provider Name: SUCCOR HOME CARE LLC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: SUCCOR HOME CARE
  • Address: 7805 L ST STE 140
    OMAHA, NE
    ZIP 68127
  • Phone: (402) 331-5814

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NPI Details

SUCCOR HOME CARE LLC is an intermediate care facility mentally retarded in Omaha, NE. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SUCCOR HOME CARE LLC NPI is 1760201867. The provider is registered as an organization entity type.
The provider Is Doing Business As Succor Home Care.

The provider's business location address is:

7805 L ST STE 140
OMAHA, NE
ZIP 68127-870
Phone: (402) 331-5814

The provider's authorized official is Terrance Tilson .
The authorized official title is DIRECTOR OF OPERATIONSOperations and has the following contact phone number (531) 375-1013.

The enumeration date for this NPI number is 10/7/2024 and was last updated on 1/15/2025.

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
1251E00000XHome HealthNo
2253Z00000XIn Home Supportive CareNo
3315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes
4374U00000XHome Health AideNo

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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