Healthcare Provider Details

I. General information

NPI: 1255126801
Provider Name (Legal Business Name): NEBRASKA HEALTH CARE SUPPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 S 42ND ST STE 518
OMAHA NE
68105-2945
US

IV. Provider business mailing address

1941 S 42ND ST STE 518
OMAHA NE
68105-2945
US

V. Phone/Fax

Practice location:
  • Phone: 402-415-9223
  • Fax:
Mailing address:
  • Phone: 402-359-0788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CALANDRA COOPER
Title or Position: LICENSED PRACTICAL NURSE
Credential: LPN
Phone: 402-359-0788