Healthcare Provider Details

I. General information

NPI: 1700731528
Provider Name (Legal Business Name): FIRSTLIGHT HOME CARE OF NORFOLK (NE)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 1/2 W BENJAMIN AVE
NORFOLK NE
68701-2982
US

IV. Provider business mailing address

600 1/2 W BENJAMIN AVE
NORFOLK NE
68701-2982
US

V. Phone/Fax

Practice location:
  • Phone: 402-370-2391
  • Fax: 402-370-2468
Mailing address:
  • Phone: 402-370-2391
  • Fax: 402-370-2468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GABRIEL GERAL HANSEN
Title or Position: OWNER
Credential:
Phone: 402-598-2246