Healthcare Provider Details

I. General information

NPI: 1487587945
Provider Name (Legal Business Name): MR. CHRISTOPHER OLIVER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 N 133RD PLZ APT 208
OMAHA NE
68164-1044
US

IV. Provider business mailing address

5501 N 133RD PLZ APT 208
OMAHA NE
68164-1044
US

V. Phone/Fax

Practice location:
  • Phone: 402-301-5898
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: