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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