Provider Demographics
NPI:1467260299
Name:LIEBE'S LLC
Entity type:Organization
Organization Name:LIEBE'S LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EYA
Authorized Official - Middle Name:MECONOVINO
Authorized Official - Last Name:DJISSENOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-208-1939
Mailing Address - Street 1:8790 F ST STE 212
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1534
Mailing Address - Country:US
Mailing Address - Phone:402-208-1939
Mailing Address - Fax:
Practice Address - Street 1:8790 F ST STE 212
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1534
Practice Address - Country:US
Practice Address - Phone:402-208-1939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child