DELMAR GARDENS OF OMAHA, LLC (NPI# 1790771301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790771301 |
| Entity Type | Organization |
| Organization Name | DELMAR GARDENS OF OMAHA, LLC |
| Other Organization Name | ST. JOSEPH VILLA HOMECARE & HOSPICE |
| Practice Address |
1000 N 90th St Suite 203 Omaha NE 68114-2764 |
| Mailing Address |
14805 N Outer 40 Rd Suite 300 Chesterfield MO 63017-6060 |
| Practice Telephone | 4029264444 |
| Practice Fax Number | 4023938230 |
| Mailing Telephone | 6367337000 |
| Mailing Fax Number | 6367337010 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | MR. GAIL LEE HARTMANN (TREASURER) |
| Authorized Official Telephone | 6367337000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HOSPICE24 | NE | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100251402-00 | 05 |
| Other Name | Type Code |
|---|---|
| St. Joseph Villa Homecare & Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477525 | Delmar Gardens of Omaha, LLC | Home Health | 1000 N 90th St, Omaha, NE 68114-2764 | 2005-09-16 |
| 1417942277 | Delmar Gardens of Omaha, LLC | Skilled Nursing Facility | 2305 S 10th St, Omaha, NE 68108-1108 | 2005-09-16 |
| Street Address |
1000 N 90TH ST SUITE 203 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477525 | Delmar Gardens of Omaha, LLC | Home Health | 1000 N 90th St, Omaha, NE 68114-2764 | 2005-09-16 |
| 1437513967 | Genevieve Maliszewski | Counselor | 1000 N 90th St, Suite 200, Omaha, NE 68114-2764 | 2016-04-11 |
| 1619225893 | Julie Ann Gentleman | Physical Therapist | 1000 N 90th St, Suite 203, Omaha, NE 68114-2764 | 2012-08-20 |
| 1629372032 | Lauren Beth Johnson | Psychologist | 1000 N 90th St, Ste 200, Omaha, NE 68114-2764 | 2010-12-28 |
| 1124284690 | Ashley C Harlow | Psychologist | 1000 N 90th St, Suite 200, Omaha, NE 68114-2764 | 2008-08-04 |
| 1609030501 | Jessica Lynn Pedeville | Psychologist | 1000 N 90th St, Suite 200, Omaha, NE 68114-2764 | 2008-07-10 |
| 1639388440 | Jennifer K Mcwilliams | Psychiatry & Neurology | 1000 N 90th St, Ste 200, Omaha, NE 68114-2764 | 2007-05-21 |
| 1770637878 | Reo Wexner Newring | Counselor | 1000 N 90th St, Suite 200, Omaha, NE 68114 | 2007-01-23 |
| 1508913864 | Coleen K Cusick-brown | Social Worker | 1000 N 90th St, Ste 200, Omaha, NE 68114-2764 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225433931 | Serenecare Inc | Hospice Care, Community Based | 4905 S 107th Ave Ste 205, Omaha, NE 68127-1965 | 2014-10-24 |
| 1477885705 | Amazing Angels Home Health & Hospice LLC | Hospice Care, Community Based | 2216 N 91st Plz, Omaha, NE 68134-6022 | 2010-02-11 |
| 1851538961 | Pathways To Compassion, LLC | Hospice Care, Community Based | 287 N 115th St, Omaha, NE 68154-2520 | 2009-01-12 |
| 1932278728 | Alegent Health Bergan Mercy Health System | Hospice Care, Community Based | 7415 Cedar St, Omaha, NE 68124-2367 | 2006-11-07 |
| 1275575599 | Hospice Preferred Choice, Inc. | Hospice Care, Community Based | 6307 Center St Ste 210, Omaha, NE 68106-3460 | 2006-06-12 |
| 1265433247 | Odyssey Healthcare Operating A Lp | Hospice Care, Community Based | 444 Regency Parkway Dr, Suite 200, Omaha, NE 68114-3779 | 2005-08-02 |
| 1154846400 | Dignity Home Hospice, Inc. | Hospice Care, Community Based | 1299 Farnam St Ste 300, Omaha, NE 68102-1857 | 2017-08-08 |
| 1073065033 | Endless Journey | Hospice Care, Community Based | 10909 Mill Valley Rd, Suite 205, Omaha, NE 68154-3985 | 2016-10-26 |
| 1821420266 | Chi National Home Care | Hospice Care, Community Based | 810 N 96th St, Suite 201, Omaha, NE 68114-2767 | 2013-08-08 |
| 1477808889 | Serenecare Inc | Hospice Care, Community Based | 4905 S 107th Ave, Suite 205, Omaha, NE 68127-1965 | 2012-07-23 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on DELMAR GARDENS OF OMAHA, LLC.
| 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.