Healthcare Provider Details

I. General information

NPI: 1386597250
Provider Name (Legal Business Name): STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S 84TH ST
LINCOLN NE
68510-2611
US

IV. Provider business mailing address

PO BOX 94987
LINCOLN NE
68509-4987
US

V. Phone/Fax

Practice location:
  • Phone: 402-853-1582
  • Fax: 402-471-6052
Mailing address:
  • Phone: 402-853-1582
  • Fax: 402-471-6052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225CA2400X
TaxonomyAssistive Technology Practitioner Rehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: TOBIAS JAMESON ORR
Title or Position: DIRECTOR - ATP
Credential:
Phone: 402-853-1582