MEDICARE: A MOTHERS LOVE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	253Z00000X	In Home Supportive Care Agency
3	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1386459113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A MOTHERS LOVE INC

Provider Business Mailing Address
First Line	:	5480 N 90TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-1804
Country	:	US
Telephone Number	:	531-215-6288
Fax Number	:

Provider Business Practice Location Address
First Line	:	5480 N 90TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-1804
Country	:	US
Telephone Number	:	531-215-6288
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHANIKA KING
Credential	:
Telephone Number	:	531-359-7184

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	02/10/2025

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Directions to “A MOTHERS LOVE INC ” Practice Location

Language	Start Address	Practice Location

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