Provider Demographics
NPI:1346048121
Name:CYARRAS ASSISTED RESIDENTIAL ESTATE LLC
Entity type:Organization
Organization Name:CYARRAS ASSISTED RESIDENTIAL ESTATE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYARRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-709-1964
Mailing Address - Street 1:7811 L ST STE 105
Mailing Address - Street 2:
Mailing Address - City:RALSTON
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1817
Mailing Address - Country:US
Mailing Address - Phone:402-709-1964
Mailing Address - Fax:
Practice Address - Street 1:5320 FONTENELLE BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-1442
Practice Address - Country:US
Practice Address - Phone:402-709-1964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities