Positive Developmental Supports LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

POSITIVE DEVELOPMENTAL SUPPORTS LLC

Practice address

4505 S 96TH St
Omaha, NE 68127-1212

Phone

(310) 614-4482

NPI assigned

Jan 31, 2025

Organization subpart

No

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

Authorized official

Name

Shiina Hirose

Title

Director

Phone

(310) 614-4482

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1114730165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18121 VAN CAMP DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304241",
            "telephone_number": "310-614-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S 96TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271212",
            "telephone_number": "310-614-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE DEVELOPMENTAL SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "HIROSE",
        "authorized_official_first_name": "SHIINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-614-4482"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Developmental Disabilities Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.