Provider Demographics
NPI:1023813565
Name:ALWAYS AT HOME SUPPORTIVE LIVING LLC
Entity type:Organization
Organization Name:ALWAYS AT HOME SUPPORTIVE LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XALAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-346-6164
Mailing Address - Street 1:1905 HARNEY ST STE 703
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-2366
Mailing Address - Country:US
Mailing Address - Phone:402-346-6164
Mailing Address - Fax:402-346-6928
Practice Address - Street 1:1905 HARNEY ST STE 703
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-2366
Practice Address - Country:US
Practice Address - Phone:402-346-6164
Practice Address - Fax:402-346-6928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251E00000XAgenciesHome Health