# SERENOVA HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1952241176
- **Authorized official:** EDOZIE NWAGBARA (MBR)
- **Authorized official phone:** (402) 279-6009

## Contact information

- **Practice address:** 4129 MIAMI ST, OMAHA, NE 68111-3432
- **Practice address phone:** (402) 279-6009
- **Practice address fax:** (402) 279-6009
- **Mailing address:** 4129 MIAMI ST, OMAHA, NE 68111-3432
- **Mailing address phone:** (402) 279-6009
- **Mailing address fax:** (402) 279-6009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | Yes |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2026
- **Last updated:** 03/30/2026