Healthcare Provider Details
I. General information
NPI: 1477487338
Provider Name (Legal Business Name): QUALITY CHOICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5935 HENNINGER DR STE 2
OMAHA NE
68104-1218
US
IV. Provider business mailing address
5935 HENNINGER DR STE 2
OMAHA NE
68104-1218
US
V. Phone/Fax
- Phone: 402-513-0999
- Fax:
- Phone: 402-513-0999
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIAH
BLACKBURN
Title or Position: COO
Credential: TIAH BLACKBURN
Phone: 402-513-0999