Provider Demographics
NPI:1154111276
Name:MASSEY HOME HEALTHCARE OF NEBRASKA
Entity type:Organization
Organization Name:MASSEY HOME HEALTHCARE OF NEBRASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-612-2568
Mailing Address - Street 1:2403 EVANS ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2905
Mailing Address - Country:US
Mailing Address - Phone:402-612-2568
Mailing Address - Fax:
Practice Address - Street 1:3522 N 24TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1829
Practice Address - Country:US
Practice Address - Phone:402-216-3930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health