Provider Demographics
NPI:1760415798
Name:INTERIM HEALTHCARE OF LINCOLN, LLC
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE OF LINCOLN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:ORLEANE
Authorized Official - Last Name:HELLING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:402-421-7920
Mailing Address - Street 1:6040 S 58TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3695
Mailing Address - Country:US
Mailing Address - Phone:402-421-4720
Mailing Address - Fax:402-421-7921
Practice Address - Street 1:6040 S 58TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3695
Practice Address - Country:US
Practice Address - Phone:402-421-4720
Practice Address - Fax:402-421-7921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========14Medicaid
NE=========14Medicaid