=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629660774
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OMAHA NE HOME CAREGIVING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2021
-----------------------------------------------------
Last Update Date | 01/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1826 N 203RD ST
-----------------------------------------------------
City | ELKHORN
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68022-2885
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-251-5770
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2612 WASHINGTON AVE STE 1
-----------------------------------------------------
City | WACO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76710-7469
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-991-7836
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER
-----------------------------------------------------
Name | MICHAEL HILLMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 245-503-5233
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------