NPIMap

Organization Active NPI

Patron Senior Living LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1104646140
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PATRON SENIOR LIVING LLC
Practice address
1402 Jones St Ste 211
Omaha, NE 68102-3218
Phone
(402) 800-7759
Fax
(402) 585-0182
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Haji A SaladNPI 1750188330
Title
Ceo
Phone
(402) 698-0098

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X

Addresses

Primary practice location

1402 Jones St Ste 211
Omaha, NE 68102-3218

Mailing address

1402 Jones St Ste 211
Omaha, NE 68102-3218
Phone (402) 800-7759

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1104646140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 JONES ST STE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023218",
            "telephone_number": "402-800-7759",
            "fax_number": "402-585-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 JONES ST STE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023218",
            "telephone_number": "402-800-7759",
            "fax_number": "402-585-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRON SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "SALAD",
        "authorized_official_first_name": "HAJI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-698-0098"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "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 Mar 13, 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.