Healthcare Provider Details

I. General information

NPI: 1588589428
Provider Name (Legal Business Name): CHRISTIANS LOVE AND COMFORT CREW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7302 S 52ND ST
BELLEVUE NE
68157-2130
US

IV. Provider business mailing address

7302 S 52ND ST
BELLEVUE NE
68157-2130
US

V. Phone/Fax

Practice location:
  • Phone: 402-203-1598
  • Fax:
Mailing address:
  • Phone: 402-203-1598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAWN LYTLE
Title or Position: OWNER
Credential:
Phone: 402-203-1598