Provider Demographics
NPI:1699809863
Name:HITES ENTERPRISES INC
Entity Type:Organization
Organization Name:HITES ENTERPRISES INC
Other - Org Name:OMAHA CONSULTATION CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CORP PRES TREAS COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELMORINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HITES
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMNP
Authorized Official - Phone:402-330-4440
Mailing Address - Street 1:11912 ELM ST
Mailing Address - Street 2:SUITE 122
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4387
Mailing Address - Country:US
Mailing Address - Phone:402-330-4440
Mailing Address - Fax:402-952-0050
Practice Address - Street 1:11912 ELM ST
Practice Address - Street 2:SUITE 122
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4387
Practice Address - Country:US
Practice Address - Phone:402-330-4440
Practice Address - Fax:402-952-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE577101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========01Medicaid
IA=========01Medicaid