Provider Demographics
NPI:1811175896
Name:OUR HOMES
Entity type:Organization
Organization Name:OUR HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:HEPBURN
Authorized Official - Last Name:OSHEA
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-474-2121
Mailing Address - Street 1:2039 Q ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-3643
Mailing Address - Country:US
Mailing Address - Phone:402-474-2121
Mailing Address - Fax:402-477-9752
Practice Address - Street 1:2039 Q ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-3643
Practice Address - Country:US
Practice Address - Phone:402-474-2121
Practice Address - Fax:402-477-9752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF1713104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025513400Medicaid
NE10025314600Medicaid