Healthcare Provider Details

I. General information

NPI: 1356966766
Provider Name (Legal Business Name): APOSTLE NURSING HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2020
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 S 42ND ST STE 129
OMAHA NE
68105-2938
US

IV. Provider business mailing address

1941 S 42ND ST STE 129
OMAHA NE
68105-2938
US

V. Phone/Fax

Practice location:
  • Phone: 402-515-1768
  • Fax: 402-763-2545
Mailing address:
  • Phone: 402-515-1768
  • Fax: 402-763-2545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MISS KRISTI L KELLOGG
Title or Position: COO/CO-OWNER
Credential: RN
Phone: 402-515-1768