Provider Demographics
NPI:1326140138
Name:CHILDRENS HOME HEALTHCARE
Entity Type:Organization
Organization Name:CHILDRENS HOME HEALTHCARE
Other - Org Name:CHILDREN'S HOME HEALTHCARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHACON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-955-6826
Mailing Address - Street 1:8200 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4113
Mailing Address - Country:US
Mailing Address - Phone:402-955-6826
Mailing Address - Fax:402-955-6850
Practice Address - Street 1:3000 S 84TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3215
Practice Address - Country:US
Practice Address - Phone:402-955-7777
Practice Address - Fax:402-955-5062
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDREN'S HOSPITAL & MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-02
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE261006251E00000X
332B00000X, 3336H0001X
NE2068333600000X
NERCS3385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09985OtherBCBS-PHARMACY/DME
NE10025466200Medicaid
NE60161OtherBCBS-NURSING
NE10025466200Medicaid
NE0504620001Medicare NSC