Healthcare Provider Details

I. General information

NPI: 1841130382
Provider Name (Legal Business Name): ASPEN DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 SUPERIOR ST
LINCOLN NE
68521-1502
US

IV. Provider business mailing address

8621 MADDOX DR STE 1
LINCOLN NE
68520-1606
US

V. Phone/Fax

Practice location:
  • Phone: 402-770-9089
  • Fax: 402-356-5884
Mailing address:
  • Phone: 402-770-9089
  • Fax: 402-356-5884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLY SUZANNE SPARR
Title or Position: OWNER/DIRECTOR
Credential: LPN
Phone: 402-770-9089