Organization
CHARTER HOME HEALTH OF OMAHA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIE BOAL (CORPORATE COUNSEL)
(909) 665-4965
Entity
Organization
Contact information
Practice address
4905 S. 107TH AVE., SUITE 200, OMAHA, NE 68127-1965
(402) 926-4088
(402) 926-4197
Mailing address
4905 S. 107TH AVE., SUITE 200, OMAHA, NE 68127-1965
(402) 926-4088
(402) 926-4197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA1043
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025245500
—
NE
Enumeration date
02/28/2007
Last updated
08/30/2021
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