Organization
ELITE PROFESSIONALS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER K GIBBONS RN (OWNER/PRESIDENT)
(402) 464-2422
Entity
Organization
Contact information
Practice address
3901 FAULKNER DR., LINCOLN, NE 68516-4738
(402) 464-2422
(402) 464-2922
Mailing address
3901 FAULKNER DR., LINCOLN, NE 68516-4738
(402) 464-2422
(402) 464-2922
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA201604
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025122700
—
NE
Enumeration date
07/22/2006
Last updated
11/10/2016
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