Provider Demographics
NPI:1306735048
Name:CONCIERGE HOME CARE, LLC
Entity type:Organization
Organization Name:CONCIERGE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:CAREGIVER
Authorized Official - Phone:520-977-3083
Mailing Address - Street 1:3325 N 148TH CT APT 3206
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-7214
Mailing Address - Country:US
Mailing Address - Phone:520-977-3083
Mailing Address - Fax:
Practice Address - Street 1:3325 N 148TH CT APT 3206
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-7214
Practice Address - Country:US
Practice Address - Phone:520-977-3083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health