Provider Demographics
NPI:1306735071
Name:MISSION HOME HEALTH CARE
Entity type:Organization
Organization Name:MISSION HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ARLICIA
Authorized Official - Middle Name:LYQUAN
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:402-906-9730
Mailing Address - Street 1:3927 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1764
Mailing Address - Country:US
Mailing Address - Phone:402-906-9730
Mailing Address - Fax:
Practice Address - Street 1:3927 N 19TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1764
Practice Address - Country:US
Practice Address - Phone:402-906-9730
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
Yes253Z00000XAgenciesIn Home Supportive Care