Healthcare Provider Details

I. General information

NPI: 1740960723
Provider Name (Legal Business Name): MIDWEST DISABILITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 CALAIS ST
BELLEVUE NE
68123-3636
US

IV. Provider business mailing address

9507 Q ST
OMAHA NE
68127-5201
US

V. Phone/Fax

Practice location:
  • Phone: 402-957-5902
  • Fax:
Mailing address:
  • Phone: 402-957-5902
  • Fax: 531-999-2797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MS. AMBER RAE CROW
Title or Position: CEO
Credential:
Phone: 402-957-5902