Provider Demographics
NPI:1992693428
Name:ERACARE HOME ASSISTANCE LLC
Entity type:Organization
Organization Name:ERACARE HOME ASSISTANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDINASIR
Authorized Official - Middle Name:B
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-830-1144
Mailing Address - Street 1:1301 JONES ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-3242
Mailing Address - Country:US
Mailing Address - Phone:402-830-1144
Mailing Address - Fax:
Practice Address - Street 1:1301 JONES ST STE 503
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-3247
Practice Address - Country:US
Practice Address - Phone:402-830-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health