Organization
TELECARE MENTAL HEALTH SERVICES OF NEBRASKA, INC
Active
Other names
Telecare Recovery Center at Sarpy
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
2231 LINCOLN RD, BELLEVUE, NE 68005-3907
(402) 291-1203
(402) 291-3915
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025927300
MEDICAID INJECTIBLE
NE
01
—
10025927400
MEDICAID PER DIEM RATE
NE
05
—
10025942201
—
NE
01
—
NA1928
MEDICARE PTAN
NE
Enumeration date
06/16/2006
Last updated
02/10/2025
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