Healthcare Provider Details

I. General information

NPI: 1619602224
Provider Name (Legal Business Name): EXPRESS HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 S 67TH ST STE 300
OMAHA NE
68106-2882
US

IV. Provider business mailing address

915 N 48TH AVE APT TH915N48
OMAHA NE
68132-4305
US

V. Phone/Fax

Practice location:
  • Phone: 531-541-2354
  • Fax:
Mailing address:
  • Phone: 402-708-4106
  • 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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. MAHAMED ALI JIMALE
Title or Position: OWNER
Credential:
Phone: 402-708-4106