Healthcare Provider Details

I. General information

NPI: 1790696029
Provider Name (Legal Business Name): ASPIRE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9413 S 69TH ST
PAPILLION NE
68133-2127
US

IV. Provider business mailing address

9413 S 69TH ST
PAPILLION NE
68133-2127
US

V. Phone/Fax

Practice location:
  • Phone: 402-230-7166
  • Fax: 855-631-0425
Mailing address:
  • Phone: 402-230-7166
  • Fax: 855-631-0425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: JENNI HAAN
Title or Position: PA-C
Credential:
Phone: 402-230-7166