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General NPI Number Information
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NPI Number | 1376358507
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Entity Type | Organization
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Legal Business Name | HOMEWARD HEALTH - OMAHA, LLC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 7905 L ST STE 330
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City | OMAHA
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State | NE
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Zip | 68127-1732
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Country | US
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Telephone | 402-278-1747
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Fax |
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Provider Business Mailing Address
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Address Line | 505 CORNHUSKER RD
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City | BELLEVUE
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State | NE
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Zip | 68005-7913
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Country | US
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Telephone | 402-278-1747
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CODY CAMENZIND
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Credential |
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Telephone | 402-278-1747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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