Healthcare Provider Details

I. General information

NPI: 1730021106
Provider Name (Legal Business Name): OPAL COMPANION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2916 DECATUR ST
OMAHA NE
68111-4231
US

IV. Provider business mailing address

2916 DECATUR ST
OMAHA NE
68111-4231
US

V. Phone/Fax

Practice location:
  • Phone: 402-242-5528
  • Fax:
Mailing address:
  • Phone: 402-242-5528
  • 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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LORI LYNN SAYLES
Title or Position: OWNER
Credential:
Phone: 951-605-3106