Nebraska Provider Alliance LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA201503 Issued in NE

Legal business name

NEBRASKA PROVIDER ALLIANCE LLC

Doing business as

ruralMED Home Care Resources

Practice address

507 West Ave
Holdrege, NE 68949-2226

Phone

(308) 995-4375

NPI assigned

Jun 5, 2015

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

NEBRASKA PROVIDER ALLIANCE LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark D. Harrel

Title

Chairperson

Phone

(308) 995-2211

Specialties & licenses 1

Addresses

Other names 1

• ruralMED Home Care Resources Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Nebraska Provider Alliance LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Phelps Memorial Health Center

  • Oxygen Equipment & Supplies (DME)
  • Holdrege, NE
  • NPI 1477511822

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• VSL Vetter Home Health Care of Central NE LLC

  dba Brookestone Home Health & Hospice

  • Home Health Agency
  • Kearney, NE
  • NPI 1104556083

  Sold to, 2022-07-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1013397819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689490470",
            "telephone_number": "308-995-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WEST AVE",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492226",
            "telephone_number": "308-995-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA PROVIDER ALLIANCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEBRASKA PROVIDER ALLIANCE LLC",
        "enumeration_date": "2015-06-05",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "HARREL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "308-995-2211"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "HHA201503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ruralMED Home Care Resources",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ruralMED Home Care Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana M Medina Espinoza
• Samantha J Minnick, PT
• Donna Lee Mitchem
• Kameron Joseph Murray, MSPAS
• Larry Lee Myers, RP
• Peyton Neff
• Thomas J Nelsen, D.D.S.
• Jodi Nelson, M.S. CCC-SLP
• Kim Nelson, DH
• Ariel Renee Neumeyer

• Home Health Agency in Holdrege, NE
• Providers in Holdrege, NE by specialty
• Home Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.