Healthcare Provider Details

I. General information

NPI: 1992527014
Provider Name (Legal Business Name): J PERKINS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 E 22ND ST
FREMONT NE
68025-2606
US

IV. Provider business mailing address

13411 W HOLDREGE ST
LINCOLN NE
68528-8864
US

V. Phone/Fax

Practice location:
  • Phone: 402-753-2078
  • Fax: 402-753-9198
Mailing address:
  • Phone: 402-418-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS A PERKINS
Title or Position: OWNER
Credential:
Phone: 402-418-2930