MEDICARE: GREATER CARE OF OMAHA

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
1	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1790586410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER CARE OF OMAHA

Provider Business Mailing Address
First Line	:	4665 KANSAS AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68104-1456
Country	:	US
Telephone Number	:	402-515-8964
Fax Number	:

Provider Business Practice Location Address
First Line	:	4665 KANSAS AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68104-1456
Country	:	US
Telephone Number	:	402-515-8964
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTANY ELAINE BIBBS
Credential	:
Telephone Number	:	402-515-8964

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	03/19/2025

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Directions to “GREATER CARE OF OMAHA ” Practice Location

Language	Start Address	Practice Location

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