Healthcare Provider Details

I. General information

NPI: 1902756273
Provider Name (Legal Business Name): ACCESS PROFESSIONAL HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9910 N 48TH ST STE 202B
OMAHA NE
68152-1548
US

IV. Provider business mailing address

9910 N 48TH ST STE 202B
OMAHA NE
68152-1548
US

V. Phone/Fax

Practice location:
  • Phone: 402-906-5863
  • Fax: 402-819-0949
Mailing address:
  • Phone: 402-906-5863
  • Fax: 402-819-0949

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANDREA PITTMAN
Title or Position: OWNER
Credential:
Phone: 402-906-5863