Provider Demographics
NPI:1952167041
Name:RAI CARE CENTERS OF NEBRASKA II LLC
Entity type:Organization
Organization Name:RAI CARE CENTERS OF NEBRASKA II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-445-3010
Mailing Address - Street 1:7454 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68112-2722
Mailing Address - Country:US
Mailing Address - Phone:402-951-4762
Mailing Address - Fax:402-881-8670
Practice Address - Street 1:7454 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68112-2722
Practice Address - Country:US
Practice Address - Phone:402-951-4762
Practice Address - Fax:402-881-8670
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment