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Organization
SD HOME CARE LLC
Active
Organization
SD HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE SHIELDS (OWNER)
(402) 707-0909
Entity
Organization
Contact information
Practice address
5094 S 108TH ST, OMAHA, NE 68137-2314
(531) 777-8859
Mailing address
15130 BAUMAN AVE, OMAHA, NE 68116-4475
(402) 707-0909
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
342000000X
Transportation Network Company
—
—
347E00000X
Transportation Broker
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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