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NPI Code Detail

MEDICARE: DOENA HEART HOME HEALTH

MEDICARE: DOENA HEART HOME HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1457242448
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOENA HEART HOME HEALTH
Provider Business Mailing Address
First Line : 3160 AMES AVE # 7
Second Line :
City : OMAHA
State : NE
Zip : 68111-2759
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3160 AMES AVE # 7
Second Line :
City : OMAHA
State : NE
Zip : 68111-2759
Country : US
Telephone Number : 402-850-9715
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RONDELL MOORE
Credential :
Telephone Number : 402-850-9715
Provider Enumeration Date : 07/09/2025
Last Update Date : 07/09/2025

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Directions to “DOENA HEART HOME HEALTH ” Practice Location

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