Healthcare Provider Details

I. General information

NPI: 1013836725
Provider Name (Legal Business Name): DORA RIVERA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 S 85TH ST
LA VISTA NE
68128-2108
US

IV. Provider business mailing address

7305 S 85TH ST
LA VISTA NE
68128-2108
US

V. Phone/Fax

Practice location:
  • Phone: 531-389-2087
  • Fax:
Mailing address:
  • Phone: 531-389-2087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DORA RIVERA
Title or Position: OWNER
Credential:
Phone: 402-210-1372