Individual provider Active NPI

Tiah Blackburn

  • Case Manager/Care Coordinator
  • Omaha, NE
National Provider Identifier
1043025166
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
6025 Sorensen Pkwy
Omaha, NE 68152-2238
Phone
(402) 513-0999
Fax
(402) 513-0999
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Case Manager/Care Coordinator 171M00000X Primary
Home Health Aide 374U00000X
Chore Provider 372500000X
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

6025 Sorensen Pkwy
Omaha, NE 68152-2238

Mailing address

6025 Sorensen Pkwy
Omaha, NE 68152-2238
Phone (402) 513-0999

Other practice location 1

5935 Henninger Dr Ste 2
Omaha, NE 68104-1218
Phone (402) 817-6870

Other practice location 2

8611 Blondo St Ste 1
Omaha, NE 68134-6159
Phone (402) 830-9090

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delicate Lyfe Health Services LLC Current Accepting new patients
Eco Supportive Living Chore Provider CurrentSince Feb 1, 2025 Accepting new patients
Prime Home Care LLC PastSince Mar 24, 2025 Accepting new patients
Prime Home Care LLC PastSince Mar 24, 2025 Accepting new patients
Quality Choice LLC PastSince Jun 3, 2025 Accepting new patients

Locations

8611 Blondo St
Ste 1
Omaha, NE 68134
Phone (402) 830-9090

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1043025166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 SORENSEN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522238",
            "telephone_number": "402-513-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 SORENSEN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522238",
            "telephone_number": "402-513-0999",
            "fax_number": "402-513-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5935 Henninger Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681041218",
            "country_code": "US",
            "telephone_number": "402-817-6870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8611 Blondo St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681346159",
            "country_code": "US",
            "telephone_number": "402-830-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "TIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 26, 2026; 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.