Healthcare Provider Details

I. General information

NPI: 1770004418
Provider Name (Legal Business Name): HRS OF NEBRASKA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S 74TH PLZ STE 111
OMAHA NE
68114-4667
US

IV. Provider business mailing address

17855 DALLAS PKWY STE 200
DALLAS TX
75287-6857
US

V. Phone/Fax

Practice location:
  • Phone: 402-999-6297
  • Fax: 402-769-2384
Mailing address:
  • Phone: 972-201-3779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA201607
License Number StateNE

VIII. Authorized Official

Name: HEATHER SISCEL
Title or Position: VP LEGAL
Credential:
Phone: 402-999-6297