Healthcare Provider Details

I. General information

NPI: 1295571370
Provider Name (Legal Business Name): CONNECT MEDICAL BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11113 REYNOLDS ST
OMAHA NE
68142-1819
US

IV. Provider business mailing address

11113 REYNOLDS ST
OMAHA NE
68142-1819
US

V. Phone/Fax

Practice location:
  • Phone: 402-650-7111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: JONTAE WILSON MURRAY
Title or Position: OWNER/CEO
Credential:
Phone: 402-650-7111