Healthcare Provider Details

I. General information

NPI: 1285558965
Provider Name (Legal Business Name): EASTERN NEBRASKA HUMAN SERVICES AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 BLONDO ST
OMAHA NE
68164-3815
US

IV. Provider business mailing address

4715 S 132ND ST
OMAHA NE
68137-1899
US

V. Phone/Fax

Practice location:
  • Phone: 531-466-8520
  • Fax:
Mailing address:
  • Phone: 402-444-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY STEINER
Title or Position: DIRECTOR OF COMM & ENGAGEMENT
Credential:
Phone: 402-444-6500