Provider Demographics
NPI:1184996258
Name:CHILDREN'S HOME HEALTHCARE
Entity type:Organization
Organization Name:CHILDREN'S HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-738-6801
Mailing Address - Street 1:4156 S 52ND ST
Mailing Address - Street 2:CHILDREN'S HOME HEALTHCARE - INFUSION SERVICES
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68117-1324
Mailing Address - Country:US
Mailing Address - Phone:402-734-6741
Mailing Address - Fax:
Practice Address - Street 1:4156 S 52ND ST
Practice Address - Street 2:CHILDREN'S HOME HEALTHCARE - INFUSION SERVICES
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68117-1324
Practice Address - Country:US
Practice Address - Phone:402-734-6741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDREN'S HOSPITAL & MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2068333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy