Provider Demographics
NPI:1134926272
Name:OMAN, MICAH LYNN
Entity type:Individual
Prefix:
First Name:MICAH
Middle Name:LYNN
Last Name:OMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7562 UPTON GREY LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5694
Mailing Address - Country:US
Mailing Address - Phone:402-805-7395
Mailing Address - Fax:
Practice Address - Street 1:7562 UPTON GREY LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5694
Practice Address - Country:US
Practice Address - Phone:402-805-7395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities