Healthcare Provider Details

I. General information

NPI: 1962333898
Provider Name (Legal Business Name): AUSOME LIFE FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 SORENSEN PKWY
OMAHA NE
68152-2139
US

IV. Provider business mailing address

6655 SORENSEN PKWY
OMAHA NE
68152-2139
US

V. Phone/Fax

Practice location:
  • Phone: 402-212-1110
  • Fax:
Mailing address:
  • Phone: 402-212-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. TIFFANY DANIELLE MCGARY
Title or Position: OWNER
Credential: MCGARY
Phone: 402-212-1110