Individual
SOH MI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5829 N 93RD ST, OMAHA, NE 68134-1705
(531) 352-1037
Mailing address
5829 N 93RD ST, OMAHA, NE 68134-1705
(531) 352-1037
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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