Provider Demographics
NPI:1568996981
Name:HOUSE ENTERPRISES INC
Entity Type:Organization
Organization Name:HOUSE ENTERPRISES INC
Other - Org Name:DAYBREAK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-932-7788
Mailing Address - Street 1:9239 W CENTER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-1933
Mailing Address - Country:US
Mailing Address - Phone:402-932-7788
Mailing Address - Fax:402-933-7464
Practice Address - Street 1:9239 W CENTER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-1933
Practice Address - Country:US
Practice Address - Phone:402-932-7788
Practice Address - Fax:402-933-7464
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1285929844
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children