Provider Demographics
NPI:1326610478
Name:ONCARE HOSPICE LLC
Entity Type:Organization
Organization Name:ONCARE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREISDENT / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-933-2561
Mailing Address - Street 1:16934 FRANCES STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130
Mailing Address - Country:US
Mailing Address - Phone:402-403-4330
Mailing Address - Fax:402-933-2879
Practice Address - Street 1:16934 FRANCES STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130
Practice Address - Country:US
Practice Address - Phone:402-403-4330
Practice Address - Fax:402-933-2879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based