Provider Demographics
NPI:1851726939
Name:OCKEN CO
Entity Type:Organization
Organization Name:OCKEN CO
Other - Org Name:FIRSTLIGHT HOMECARE OF OMAHA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:OCKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-614-0413
Mailing Address - Street 1:6614 IRVINGTON RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6614 IRVINGTON RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1201
Practice Address - Country:US
Practice Address - Phone:402-614-0413
Practice Address - Fax:402-218-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00725074OtherMEDICAID WAIVER