=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578368197
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APACE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2025
-----------------------------------------------------
Last Update Date | 02/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4433 S 70TH ST
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68516-4275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-471-6400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4433 S 70TH ST
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68516-4275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-471-6400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SERVICE COORDINATOR
-----------------------------------------------------
Name | KELSEY WHITE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 402-443-6218
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------