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Organization
DIVERSIFIED HEALTHCARE INC.
Active
Organization
DIVERSIFIED HEALTHCARE INC.
Active
Other names
Interim HealthCare of Omaha
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA STAPLETON (OWNER, ADMINISTRATOR, DHCS)
(402) 392-1818
Entity
Organization
Contact information
Practice address
5332 S 138TH ST STE 100, OMAHA, NE 68137-2945
(402) 392-1818
(402) 392-0167
Mailing address
5332 S 138TH ST STE 100, OMAHA, NE 68137-2945
(402) 392-1818
(402) 392-0167
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA201501
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679502397
NPI
NE
01
—
287027
MEDICARE
NE
Enumeration date
09/15/2015
Last updated
09/15/2015
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