Provider Demographics
NPI:1477966737
Name:SERPA-ACO, LLC
Entity Type:Organization
Organization Name:SERPA-ACO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TENHULZEN HUNEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-826-3737
Mailing Address - Street 1:995 E HIGHWAY 33
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-5076
Mailing Address - Country:US
Mailing Address - Phone:402-826-3737
Mailing Address - Fax:402-826-3746
Practice Address - Street 1:995 E HIGHWAY 33
Practice Address - Street 2:SUITE 2
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-5076
Practice Address - Country:US
Practice Address - Phone:402-826-3737
Practice Address - Fax:402-826-3746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management