Provider Demographics
NPI:1992253967
Name:EASTERN NEBRASKA HUMAN SERVICES AGENCY
Entity type:Organization
Organization Name:EASTERN NEBRASKA HUMAN SERVICES AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HERBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-444-6500
Mailing Address - Street 1:900 S 74TH PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4675
Mailing Address - Country:US
Mailing Address - Phone:402-444-6500
Mailing Address - Fax:402-444-6504
Practice Address - Street 1:900 S 74TH PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4675
Practice Address - Country:US
Practice Address - Phone:402-444-6500
Practice Address - Fax:402-444-6504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities