Healthcare Provider Details

I. General information

NPI: 1376339341
Provider Name (Legal Business Name): HUGS AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5102 N 166TH PLZ APT B202
OMAHA NE
68116-3795
US

IV. Provider business mailing address

5102 N 166TH PLZ APT B202
OMAHA NE
68116-3795
US

V. Phone/Fax

Practice location:
  • Phone: 402-212-6406
  • Fax:
Mailing address:
  • Phone: 402-212-6406
  • Fax:

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 Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: GLENELL A CLARK
Title or Position: OWNER
Credential:
Phone: 402-212-6406