Healthcare Provider Details

I. General information

NPI: 1801898176
Provider Name (Legal Business Name): FIRSTCARE HOME HEALTH OF EASTERN NEBRASKA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 10/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 NORMAL BLVD STE 102
LINCOLN NE
68506-5200
US

IV. Provider business mailing address

3901 NORMAL BLVD STE 102
LINCOLN NE
68506-5200
US

V. Phone/Fax

Practice location:
  • Phone: 402-435-1122
  • Fax: 402-435-4854
Mailing address:
  • Phone: 402-435-1122
  • Fax: 402-435-4854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number501003
License Number StateNE

VIII. Authorized Official

Name: MS. CINDY ROSE BRENNFOERDER
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 402-435-1122