Healthcare Provider Details

I. General information

NPI: 1376431379
Provider Name (Legal Business Name): CARE FROM WITHIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7905 L ST STE 420
OMAHA NE
68127-1732
US

IV. Provider business mailing address

812 N 124TH CT APT 11
OMAHA NE
68154-1454
US

V. Phone/Fax

Practice location:
  • Phone: 402-515-2654
  • Fax:
Mailing address:
  • Phone: 402-208-3051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANNGANETTA GREEN
Title or Position: CNA
Credential:
Phone: 402-208-3051