PRIME HOME DEVELOPMENTAL DISABILITIES SERVICES, INC (NPI# 1366996548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366996548 |
| Entity Type | Organization |
| Organization Name | PRIME HOME DEVELOPMENTAL DISABILITIES SERVICES, INC |
| Practice Address |
6818 Grover St Suite 200 Omaha NE 68106-3640 |
| Mailing Address |
6818 Grover St Omaha NE 68106-3640 |
| Practice Telephone | 4029320072 |
| Practice Fax Number | 4026148245 |
| Mailing Telephone | 4029320072 |
| Mailing Fax Number | 4026148245 |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |
| Authorized Official Name | RHONDA K BOJANSKI (CHEIF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4029320072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326536558 | Prime Home Developmental Disabilities Services, Inc | Counselor | 6818 Grover St Ste 200, Omaha, NE 68106-3632 | 2018-04-24 |
| Street Address |
6818 GROVER ST SUITE 200 |
| City | OMAHA |
| State | NE |
| Zip Code | 68106-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306802806 | Rizzo & Associates, PC | Counselor | 6818 Grover St, Suite 303, Omaha, NE 68106-3640 | 2006-04-24 |
| 1619309713 | Nicole Jo Dyer | Nurse Practitioner | 6818 Grover St, Omaha, NE 68106-3640 | 2013-07-31 |
| 1669648911 | Gregory Ojiewulu Ucheagwu | Counselor | 6818 Grover St, Suite 104, Omaha, NE 68106-3640 | 2008-05-07 |
| 1265589220 | Prime Home Care LLC | Hospice Care, Community Based | 6818 Grover St, Suite 201, Omaha, NE 68106-3640 | 2007-01-04 |
| 1649372194 | Kay Eileen Ticen | General Practice | 6818 Grover St, Suite 201, Omaha, NE 68106-3640 | 2006-09-04 |
| 1023041605 | Prime Home Care LLC | Home Health | 6818 Grover St, Suite 201, Omaha, NE 68106-3640 | 2006-07-08 |
| 1780640763 | Joseph L Rizzo | Psychologist | 6818 Grover St, Suite 303, Omaha, NE 68106-3640 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912477571 | Cara Ann Ehegartner | Counselor | 6818 Grover St Suite 200, Omaha, NE 68106 | 2018-11-27 |
| 1861961401 | Kara D. Legrow | Counselor | Legrow Therapy Services, 6910 S Pacific St., Ste #320, Omaha, NE 68106 | 2018-11-13 |
| 1154896249 | Bina Bastola | Registered Nurse | 4444marinda Street, Omaha, NE 68106 | 2018-10-04 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1518482629 | Robert Elmore | Pathology | 7710 Mercy Road, Suite 202 - Cu Dept of Pathology, Omaha, NE 68106 | 2017-08-09 |
| 1902331911 | Takeaki Ando | Student in an Organized Health Care Education/Training Program | 6910 Spring Street Apartment 316, Omaha, NE 68106 | 2017-04-27 |
| 1881130482 | Maverick Family Chiropractic, LLC | Chiropractor | 5002 Center St., Suite 4, Omaha, NE 68106 | 2017-01-06 |
| 1528411444 | Kelley Carlson | Dentist | 2141 S 63rd St, Omaha, NE 68106 | 2016-07-15 |
| 1598161911 | Nao Kozawa | Specialist/Technologist | 1102 S 60th St, Omaha, NE 68106 | 2014-11-12 |
| 1568866341 | Joel Peck | Pharmacist | 888 South Saddlecreek Rd, Omaha, NE 68106 | 2014-10-22 |
| Find all providers in zip 68106 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122170 | Renewed Vision Counseling and Developmental Disability Center | Day Training, Developmentally Disabled Services | 1941 S 42nd St Ste 507, Omaha, NE 68105-2945 | 2020-10-21 |
| 1952960809 | Positive Transitions LLC | Day Training, Developmentally Disabled Services | 4815 N 148th Cir, Omaha, NE 68116-1477 | 2019-06-12 |
| 1205369717 | Nicole Mccarthy | Day Training, Developmentally Disabled Services | 10011 J St, Omaha, NE 68127-1106 | 2017-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217150 | Region I Office of Human Development | Day Training, Developmentally Disabled Services | 2603 Circle Dr, Scottsbluff, NE 69361-1751 | 2019-10-28 |
| 1841832870 | South Central Developmental Services | Day Training, Developmentally Disabled Services | 821 J St, Cozad, NE 69130-1708 | 2019-10-10 |
| 1982144457 | James Scott | Day Training, Developmentally Disabled Services | 5400 Walker Ave, Lincoln, NE 68504-2967 | 2017-03-03 |
| 1710379300 | Integrated Life Choices | Day Training, Developmentally Disabled Services | 6800 Normal Blvd, Lincoln, NE 68506-6828 | 2015-02-19 |
| 1801986898 | Community Alternatives Nebraska, Inc. | Day Training, Developmentally Disabled Services | 3300 Folkways Cir, Lincoln, NE 68504-4762 | 2006-10-13 |
| 1659839207 | Alpha Care Services, L.l.c | Day Training, Developmentally Disabled Services | 7200 S 84th St, La Vista, NE 68128-2115 | 2019-03-03 |
| 1700367539 | Banner County School | Day Training, Developmentally Disabled Services | 200 School St, Harrisburg, NE 69345 | 2018-08-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.