Provider Demographics
NPI:1508467507
Name:SIMAIRA'S QUALITY CARE, LLC
Entity Type:Organization
Organization Name:SIMAIRA'S QUALITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:SIMAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-972-1671
Mailing Address - Street 1:4235 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-1852
Mailing Address - Country:US
Mailing Address - Phone:402-972-1671
Mailing Address - Fax:
Practice Address - Street 1:4235 GRAND AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-1852
Practice Address - Country:US
Practice Address - Phone:402-972-1671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health