MEDICARE: ABRIA HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1548995822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABRIA HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	8790 F ST STE 205
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68127-1534
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8790 F ST STE 205
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68127-1534
Country	:	US
Telephone Number	:	531-213-7662
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	ALVIN BROCKINGTON
Credential	:
Telephone Number	:	531-222-7533

Provider Enumeration Date	:	07/20/2022
Last Update Date	:	07/20/2022

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Directions to “ABRIA HOME HEALTH LLC ” Practice Location

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