Healthcare Provider Details

I. General information

NPI: 1306638937
Provider Name (Legal Business Name): ESSENCE NEBRASKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 S 72ND ST STE 102
PAPILLION NE
68046-3408
US

IV. Provider business mailing address

10601 S 72ND ST STE 102
PAPILLION NE
68046-3408
US

V. Phone/Fax

Practice location:
  • Phone: 402-502-6009
  • Fax: 402-502-7461
Mailing address:
  • Phone: 402-502-6009
  • Fax: 402-502-7461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. TRAVIS J ALGER
Title or Position: PRESIDENT
Credential: DC
Phone: 712-330-0388