Healthcare Provider Details
I. General information
NPI: 1679199400
Provider Name (Legal Business Name): VASCULAR ACCESS PLUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2020
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9375 G CT
OMAHA NE
68127-1230
US
IV. Provider business mailing address
12100 W CENTER RD STE 524
OMAHA NE
68144-3969
US
V. Phone/Fax
- Phone: 402-450-4264
- Fax: 402-505-5247
- Phone: 855-742-2827
- Fax: 855-336-1108
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JAMIE
LEEANN
RHOADES
Title or Position: CEO
Credential: RN
Phone: 402-450-4264