Provider Demographics
NPI:1467001594
Name:HOUSE CALL HEALTHCARE OMAHA
Entity Type:Organization
Organization Name:HOUSE CALL HEALTHCARE OMAHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NP
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:VAN WINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-213-5602
Mailing Address - Street 1:PO BOX 349
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-0349
Mailing Address - Country:US
Mailing Address - Phone:402-810-7292
Mailing Address - Fax:402-695-5023
Practice Address - Street 1:18605 CORNISH RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NE
Practice Address - Zip Code:68059-7122
Practice Address - Country:US
Practice Address - Phone:402-515-4994
Practice Address - Fax:402-695-5023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty