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Organization
PRIMARY HOME HEALTH CARE, INC.
Active
Organization
PRIMARY HOME HEALTH CARE, INC.
Active
Other names
Primary Home Health Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE A BLAN (OWNER)
(402) 345-1350
Entity
Organization
Contact information
Practice address
1941 SOUTH 42ND ST, SUITE 118, OMAHA, NE 68105-2982
(402) 345-1350
(402) 345-1374
Mailing address
1941 SOUTH 42ND ST, SUITE 118 THE CENTER, OMAHA, NE 68105-2982
(402) 345-1350
(402) 345-1374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
261560
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00793
BLUE CROSS BLUE SHIELD NE
NE
05
—
0547935
—
IA
01
—
6085010
UNITED HEALTH CARE
—
05
—
91184524500
—
NE
05
—
911845745-00
—
NE
Enumeration date
08/22/2005
Last updated
10/13/2011
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