Provider Demographics
NPI:1275075806
Name:BOBETTE'S HOME CARE, LLC
Entity Type:Organization
Organization Name:BOBETTE'S HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOBETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATENHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-719-5645
Mailing Address - Street 1:2410 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-4613
Mailing Address - Country:US
Mailing Address - Phone:402-719-5645
Mailing Address - Fax:
Practice Address - Street 1:2410 E 5TH ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-4613
Practice Address - Country:US
Practice Address - Phone:402-719-5645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE13531299Medicaid