Healthcare Provider Details

I. General information

NPI: 1285090654
Provider Name (Legal Business Name): ENCOMPASS CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5539 S 27TH ST STE. 101
LINCOLN NE
68512-1648
US

IV. Provider business mailing address

5539 S 27TH ST STE. 101
LINCOLN NE
68512-1648
US

V. Phone/Fax

Practice location:
  • Phone: 402-261-6212
  • Fax: 402-817-4949
Mailing address:
  • Phone: 402-261-6212
  • Fax: 402-817-4949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA OLANDER
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 402-261-6212