# OMAHA NURSING HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225103021
- **Authorized official:** NIJOLA R GRIGAITIS ADMINISTRATOR \#1352 (PRESIDENT)
- **Authorized official phone:** (402) 733-7200

## Contact information

- **Practice address:** 4835 S 49TH ST, OMAHA, NE 68117-2002
- **Practice address phone:** (402) 733-7200
- **Mailing address:** 4835 SO 49 ST, OMAHA, NE 68117-2002
- **Mailing address phone:** (402) 733-7200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 264013 | NE | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 04/26/2011