Provider Demographics
NPI:1083278899
Name:REGION V SERVICES
Entity Type:Organization
Organization Name:REGION V SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JEPPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-471-8344
Mailing Address - Street 1:3600 UNION DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6623
Mailing Address - Country:US
Mailing Address - Phone:402-471-8344
Mailing Address - Fax:402-471-2978
Practice Address - Street 1:3600 UNION DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6623
Practice Address - Country:US
Practice Address - Phone:402-471-8344
Practice Address - Fax:402-471-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE26600399Medicaid