ANGELO D MELGOZA (NPI# 1386941185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386941185 |
| Entity Type | Individual |
| Full Name | ANGELO D MELGOZA |
| Credential | PLADC |
| Practice Address |
3483 Larimore Ave Omaha NE 68111-2383 |
| Practice Telephone | 4024558303 |
| Practice Fax Number | 4024557050 |
| Mailing Telephone | 4024558303 |
| Mailing Fax Number | 4024557050 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | P-575 | NE | Residential Treatment Facilities |
| Street Address |
3483 LARIMORE AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68111-2383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690180 | Suzanne Ellen Nord | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2009-02-03 |
| 1043518996 | Dianne Joan Lundy | Registered Nurse | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-03-02 |
| 1952607681 | Terri Bullington | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-01-27 |
| 1407152143 | Tobi Lynette Andrews | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-01-27 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1477858900 | Aaron Joel Engelbart | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-01-13 |
| 1245535798 | Teresa Susan Bunjer | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2011-01-13 |
| 1396987467 | William Joseph Nelson | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2009-04-03 |
| 1881833226 | Barry Douglas Coates Sr. | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2009-02-09 |
| 1962641571 | Krynn Pekny | Counselor | 3483 Larimore Ave, Omaha, NE 68111-2383 | 2009-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
| 1992926497 | Vincent E Kershaw | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2007-05-01 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| 1922464239 | Brooke Bertling | Speech-Language Pathologist | 3775 Curtis Ave, Omaha, NE 68111-1169 | 2016-01-04 |
| Find all providers in zip 68111 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538223623 | Alcoholics Resocialization Conditioning Help, Inc | Substance Abuse Rehabilitation Facility | 604 S 37th St, Omaha, NE 68105-1210 | 2006-12-21 |
| 1649369075 | Catholic Charities of The Archdiocese of Omaha Inc | Substance Abuse Rehabilitation Facility | 1490 N 16th St., Omaha Campus for Hope, Omaha, NE 68102-4101 | 2006-10-12 |
| 1861043796 | Infinite Avenues Counseling | Substance Abuse Rehabilitation Facility | 7117 Farnam St Ste 17, Omaha, NE 68132-3319 | 2019-09-23 |
| 1588101828 | Centerpointe, Inc | Substance Abuse Rehabilitation Facility | 1490 N 16th St, Omaha, NE 68102-4101 | 2017-01-25 |
| 1104362318 | Centerpointe, Inc | Substance Abuse Rehabilitation Facility | 1490 N 16th St, Omaha, NE 68102-4101 | 2017-01-11 |
| 1700175221 | Nebraska Urban Indian Health Coalition | Substance Abuse Rehabilitation Facility | 2240 Landon Ct, Omaha, NE 68102-2414 | 2011-04-05 |
| 1205135001 | Stephen Center, Inc. | Substance Abuse Rehabilitation Facility | 5217 S 28th St, Omaha, NE 68107-3402 | 2011-03-18 |
| 1083810980 | Nebraska Urban Indian Health Coalition | Substance Abuse Rehabilitation Facility | 2240 Landon Ct, Omaha, NE 68102-2414 | 2007-06-26 |
| 1730393133 | Nova Treatment Community, Inc. | Substance Abuse Rehabilitation Facility | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2007-05-09 |
| 1407952518 | Catholic Charities of The Archdiocese of Omaha Inc | Substance Abuse Rehabilitation Facility | 1490 N 16th St, Omaha, NE 68102-4101 | 2006-09-15 |
| Find all providers in OMAHA | ||||
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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.