NPIMap

Organization Active NPI

Everglow Home Health Care LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1033986815
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVERGLOW HOME HEALTH CARE LLC
Practice address
19027 Hansen St
Omaha, NE 68130-6053
Phone
(402) 320-2661
Fax
(402) 951-9942
NPI assigned
Dec 11, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mr. Ganesh BiswaNPI 1144154881
Title
Case Manager
Phone
(402) 957-7564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

19027 Hansen St
Omaha, NE 68130-6053

Mailing address

19027 Hansen St
Omaha, NE 68130-6053
Phone (402) 320-2661

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1033986815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19027 HANSEN ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306053",
            "telephone_number": "402-320-2661",
            "fax_number": "402-951-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19027 HANSEN ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306053",
            "telephone_number": "402-320-2661",
            "fax_number": "402-951-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGLOW HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "BISWA",
        "authorized_official_first_name": "GANESH",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "402-957-7564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.