MEDICARE: BAE MEH

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1821882465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAE MEH

Provider Business Mailing Address
First Line	:	5707 GRAND AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68104-2137
Country	:	US
Telephone Number	:	402-983-5801
Fax Number	:

Provider Business Practice Location Address
First Line	:	5707 GRAND AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68104-2137
Country	:	US
Telephone Number	:	402-983-5801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	04/08/2025

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Directions to “ BAE MEH ” Practice Location

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