Healthcare Provider Details

I. General information

NPI: 1578614988
Provider Name (Legal Business Name): COMMUNITY ALLIANCE REHABILITATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2007
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 ARBOR ST
OMAHA NE
68106-3063
US

IV. Provider business mailing address

7150 ARBOR ST
OMAHA NE
68106-3063
US

V. Phone/Fax

Practice location:
  • Phone: 402-341-5128
  • Fax: 402-505-9849
Mailing address:
  • Phone: 402-341-5128
  • Fax: 402-505-9849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number80
License Number StateNE

VIII. Authorized Official

Name: DOMINIC PARRISH
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 402-341-5128