Provider Demographics
NPI:1467231985
Name:ONCARE PALLIATIVE LLC
Entity Type:Organization
Organization Name:ONCARE PALLIATIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FARHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-403-4330
Mailing Address - Street 1:16934 FRANCES ST STE 106
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2397
Mailing Address - Country:US
Mailing Address - Phone:402-403-4330
Mailing Address - Fax:402-403-5854
Practice Address - Street 1:16934 FRANCES ST STE 106
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2397
Practice Address - Country:US
Practice Address - Phone:402-403-4330
Practice Address - Fax:402-403-5854
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONCARE HOSPICE HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty