Provider Demographics
NPI:1134676059
Name:SOUTHEAST NEBRASKA SENIOR CARE LLC
Entity Type:Organization
Organization Name:SOUTHEAST NEBRASKA SENIOR CARE LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:CLABAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-228-2080
Mailing Address - Street 1:313 COURT ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3804
Mailing Address - Country:US
Mailing Address - Phone:402-228-2080
Mailing Address - Fax:402-228-2082
Practice Address - Street 1:313 COURT ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3804
Practice Address - Country:US
Practice Address - Phone:402-228-2080
Practice Address - Fax:402-228-2082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE65040976OtherDHHS PROVIDER ID