Healthcare Provider Details

I. General information

NPI: 1851404602
Provider Name (Legal Business Name): CENTRAL NEBRASKA HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 WEST 44TH STREET
KEARNEY NE
68845
US

IV. Provider business mailing address

P.O. BOX 1146
KEARNEY NE
68848-1146
US

V. Phone/Fax

Practice location:
  • Phone: 308-865-2711
  • Fax: 308-865-2936
Mailing address:
  • Phone: 308-865-2711
  • Fax: 308-865-2936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332100000X
TaxonomyDepartment of Veterans Affairs (VA) Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number80
License Number StateNE

VIII. Authorized Official

Name: MICHAEL RAY GLOOR
Title or Position: PRESIDENT/BOARD OF DIRECTORS
Credential:
Phone: 308-389-5623