Provider Demographics
NPI:1770394140
Name:HOSANNA HOME CARE IN NEBRASKA
Entity type:Organization
Organization Name:HOSANNA HOME CARE IN NEBRASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-890-1584
Mailing Address - Street 1:445 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-2200
Mailing Address - Country:US
Mailing Address - Phone:402-890-1584
Mailing Address - Fax:531-291-5043
Practice Address - Street 1:445 E 13TH ST
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2200
Practice Address - Country:US
Practice Address - Phone:402-890-1584
Practice Address - Fax:531-291-5043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health