FREMONT HEALTH (NPI# 1962441196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962441196 |
| Entity Type | Organization |
| Organization Name | FREMONT HEALTH |
| Other Organization Name | FREMONT HEALTH HOME CARE |
| Practice Address |
2400 N Lincoln Ave Suite B Fremont NE 68025-2443 |
| Mailing Address |
450 E 23rd St Fremont NE 68025-2387 |
| Practice Telephone | 4027211699 |
| Practice Fax Number | 4029411688 |
| Mailing Telephone | 4027211610 |
| Mailing Fax Number | 4027273433 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | MR. PATRICK M BOOTH (PRESIDENT/CEO) |
| Authorized Official Telephone | 4027211610 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREMONT HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 251001 | NE | Agencies |
| Other Name | Type Code |
|---|---|
| Fremont Health Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811244213 | Fremont Health | Hospice Care, Community Based | 450 E 23rd Street, Fremont, NE 68025-2303 | 2012-08-06 |
| 1043526080 | Fremont Health | Nurse Practitioner | 426 East 22nd Street, Suite 100, Fremont, NE 68025-2633 | 2010-08-27 |
| 1720441074 | Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2016-04-04 |
| 1285020529 | Fremont Health | Hospice Care, Community Based | 450 E 23rd Street, Fremont, NE 68025-2387 | 2015-04-14 |
| 1699023010 | Fremont Health | Hospice Care, Community Based | 450 E 23rd Street, Fremont, NE 68025-2303 | 2012-08-15 |
| 1679820914 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| 1225385560 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| 1750638094 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| 1790032191 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| 1306193644 | Fremont Health | Hospice Care, Community Based | 450 E 23rd St, Fremont, NE 68025-2303 | 2012-08-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FREMONT HEALTH CLUB LLC | 4101 Olympic Blvd., Suite 200, Everett, WA 98203 |
| Colorado Business Entities | Fremont Health, LLC | 1586 South 21st Street, Suite 20, Colorado Springs, CO 80904 |
| Street Address |
2400 N LINCOLN AVE SUITE B |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891134987 | Nicole Loseke | Nurse Practitioner | 2400 N Lincoln Ave, Fremont, NE 68025-2461 | 2013-06-21 |
| 1710041124 | Three Rivers District Health Dept | Public Health or Welfare | 2400 N Lincoln Ave, Fremont, NE 68025-2461 | 2006-12-20 |
| 1083653828 | Fremont Health | Hospice Care, Community Based | 2400 N Lincoln Ave, Suite B, Fremont, NE 68025-2443 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505409 | California Dream Care LLC | Home Health | 39666 Mission Blvd, Fremont, CA 94539-3000 | 2020-07-08 |
| 1396389151 | Comfort Angels In Home Care Agency,inc | Home Health | 44240 Fremont Blvd, Fremont, CA 94538-6000 | 2019-11-04 |
| 1659936516 | Rvp Properties, Inc. | Home Health | 655 W 23rd St Ste Hc, Fremont, NE 68025-2595 | 2019-05-07 |
| 1285193680 | Alpha One Home Health Inc | Home Health | 43240 Christy St, Fremont, CA 94538-3171 | 2019-03-15 |
| 1073077327 | Affinita Home Health Care | Home Health | 43136 Christy St Ste 112, Fremont, CA 94538-3137 | 2019-01-30 |
| 1588128466 | Lydia Clark | Home Health | 3610 E 300 N, Fremont, IN 46737-9785 | 2019-01-25 |
| 1235609520 | Universal Home Health LLC | Home Health | 48317 Avalon Heights Ter, Fremont, CA 94539-8005 | 2018-11-29 |
| 1902303316 | Rvp Properties, Inc. | Home Health | 655 W 23rd St Ste Hh, Fremont, NE 68025-2595 | 2018-04-11 |
| 1740781525 | Ims-insurance Medical Services, Inc. | Home Health | 46540 Fremont Blvd Ste 514, Fremont, CA 94538-6487 | 2018-02-27 |
| 1023556982 | Brightstems Inc | Home Health | 1251 Camero Way, Fremont, CA 94539-3787 | 2017-02-10 |
| Find all providers in FREMONT | ||||
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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.