Healthcare Provider Details

I. General information

NPI: 1407849409
Provider Name (Legal Business Name): IN HOME HEALTH CARE INC A NEBRASKA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 03/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W 19TH ST
FALLS CITY NE
68355-2011
US

IV. Provider business mailing address

116 W 19TH ST
FALLS CITY NE
68355-2011
US

V. Phone/Fax

Practice location:
  • Phone: 402-245-5968
  • Fax: 402-245-5907
Mailing address:
  • Phone: 402-245-5968
  • Fax: 402-245-5907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number661001
License Number StateNE

VIII. Authorized Official

Name: CAROL J HAMILTON
Title or Position: ADMINISTRATOR
Credential: RN MSN
Phone: 402-245-5968