Provider Demographics
NPI:1285260794
Name:HOME CARE PARTNERS OF NEBRASKA, LLC
Entity type:Organization
Organization Name:HOME CARE PARTNERS OF NEBRASKA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-380-3458
Mailing Address - Street 1:285 S 68TH STREET PL STE 306
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2584
Mailing Address - Country:US
Mailing Address - Phone:402-380-3458
Mailing Address - Fax:
Practice Address - Street 1:285 S 68TH STREET PL STE 306
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2584
Practice Address - Country:US
Practice Address - Phone:402-380-3458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE52261060Medicaid