Healthcare Provider Details

I. General information

NPI: 1184413080
Provider Name (Legal Business Name): LEADING MOTIVATING DEVELOPING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 70TH ST # 360
LINCOLN NE
68510-2469
US

IV. Provider business mailing address

301 S 70TH ST # 360
LINCOLN NE
68510-2469
US

V. Phone/Fax

Practice location:
  • Phone: 402-613-7198
  • Fax: 402-613-7198
Mailing address:
  • Phone: 402-613-7198
  • Fax: 402-613-7198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. DANTE OWENS
Title or Position: CEO
Credential: OWNER
Phone: 402-613-7198