Healthcare Provider Details

I. General information

NPI: 1760317663
Provider Name (Legal Business Name): SOFT HANDS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 N 29TH ST APT 206
OMAHA NE
68111-3838
US

IV. Provider business mailing address

5189 N 179TH AVE
OMAHA NE
68116-3292
US

V. Phone/Fax

Practice location:
  • Phone: 531-215-5488
  • Fax:
Mailing address:
  • Phone: 402-800-4415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MAZEN ALONOK
Title or Position: CAREGIVER
Credential:
Phone: 402-800-4415