Healthcare Provider Details

I. General information

NPI: 1427743699
Provider Name (Legal Business Name): LOVING NURSE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 PACIFIC ST STE 3
OMAHA NE
68114-5480
US

IV. Provider business mailing address

7701 PACIFIC ST STE 3
OMAHA NE
68114-5480
US

V. Phone/Fax

Practice location:
  • Phone: 402-219-4106
  • Fax:
Mailing address:
  • Phone: 402-219-4106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY REYES
Title or Position: OWNER/CEO
Credential:
Phone: 402-219-4106