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Individual provider Active NPI Chore Provider · Omaha, NE

NPI 1003708199 · NPPES record last updated Jul 15, 2025

Key facts

NPI
1003708199
Entity type
Individual (NPI type 1)
Primary specialty
Chore Provider 372500000X
Practice address
4219 Erskine St
Omaha, NE 68111-3418
Phone
(531) 205-0326
NPI assigned
Jul 15, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dorcas LLC Current
since Jul 22, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X Yes

Addresses

Primary practice location

4219 Erskine St
Omaha, NE 68111-3418

Mailing address

8620 N 96TH St
Omaha, NE 68122-2300
Phone (402) 708-8209

Other providers in Omaha, NE

All providers in Omaha, NE · Chore Provider in Nebraska

Sources for this page

Verify at the official NPI Registry.