Provider Demographics
NPI:1225545221
Name:ARIAL HOMECARE LLC
Entity Type:Organization
Organization Name:ARIAL HOMECARE LLC
Other - Org Name:ARIAL HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PEPITONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-350-8230
Mailing Address - Street 1:9290 W DODGE RD STE 201A
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3320
Mailing Address - Country:US
Mailing Address - Phone:402-393-0833
Mailing Address - Fax:402-502-7191
Practice Address - Street 1:9290 W DODGE RD STE 201A
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3320
Practice Address - Country:US
Practice Address - Phone:402-339-0833
Practice Address - Fax:402-502-7191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-29
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA201711251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026736100Medicaid