Healthcare Provider Details

I. General information

NPI: 1942266945
Provider Name (Legal Business Name): PROCARE3, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4614 S 132ND ST
OMAHA NE
68137-1764
US

IV. Provider business mailing address

4614 S 132ND ST
OMAHA NE
68137-1764
US

V. Phone/Fax

Practice location:
  • Phone: 402-200-5539
  • Fax: 402-330-5970
Mailing address:
  • Phone: 402-200-5539
  • Fax: 402-330-5970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL JOHN BRYANT
Title or Position: PRESIDENT
Credential: DPT
Phone: 402-200-5539