Provider Demographics
NPI:1982857595
Name:OMAHA CAREONE CAREGIVERS , LLC.
Entity Type:Organization
Organization Name:OMAHA CAREONE CAREGIVERS , LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WATSON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIPAKO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:402-504-3219
Mailing Address - Street 1:2507 S 90TH ST
Mailing Address - Street 2:SUITE # 6
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2065
Mailing Address - Country:US
Mailing Address - Phone:402-504-3219
Mailing Address - Fax:
Practice Address - Street 1:2507 S 90TH ST
Practice Address - Street 2:SUITE # 6
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2065
Practice Address - Country:US
Practice Address - Phone:402-504-3219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA200804251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health