Healthcare Provider Details

I. General information

NPI: 1306731609
Provider Name (Legal Business Name): MEDICINE IN MOTION SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4908 CASS ST
OMAHA NE
68132-2913
US

IV. Provider business mailing address

4908 CASS ST
OMAHA NE
68132-2913
US

V. Phone/Fax

Practice location:
  • Phone: 531-375-5398
  • Fax: 402-502-6823
Mailing address:
  • Phone: 531-375-5398
  • Fax: 402-502-6823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: REBECCA WESTER
Title or Position: OWNER
Credential:
Phone: 531-375-5398