Healthcare Provider Details

I. General information

NPI: 1467287458
Provider Name (Legal Business Name): YOUNIVERSE LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 03/26/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 JONES ST
OMAHA NE
68102-3218
US

IV. Provider business mailing address

PO BOX 31464
OMAHA NE
68131-0464
US

V. Phone/Fax

Practice location:
  • Phone: 402-515-7286
  • Fax:
Mailing address:
  • Phone: 402-515-7286
  • 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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: KIEYONA C WALKER
Title or Position: OWNER
Credential:
Phone: 402-515-7286