Provider Demographics
NPI:1083007868
Name:HI OMAHA 2 LLC
Entity Type:Organization
Organization Name:HI OMAHA 2 LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-932-4555
Mailing Address - Street 1:15821 W DODGE RD
Mailing Address - Street 2:STE 161
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-4015
Mailing Address - Country:US
Mailing Address - Phone:402-932-4555
Mailing Address - Fax:402-932-8998
Practice Address - Street 1:15821 W DODGE RD
Practice Address - Street 2:STE 161
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-4015
Practice Address - Country:US
Practice Address - Phone:402-932-4555
Practice Address - Fax:402-932-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care