NPIMap

Organization Active NPI

Oneworld Community Health Centers, Inc.

Doing business as Teen and Young Adult Health Center

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
National Provider Identifier
1144690074
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
HC018 Issued in NE
Legal business name
ONEWORLD COMMUNITY HEALTH CENTERS, INC.
Doing business as
Teen and Young Adult Health Center
Practice address
4310 S 24TH St
Omaha, NE 68107-1805
Phone
(402) 502-8880
Fax
(402) 502-8884
NPI assigned
Oct 5, 2015
Last updated
Oct 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Andrea M Skolkin
Title
Chief Executive Officer
Phone
(402) 502-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X HC018 NE Primary

Addresses

Primary practice location

4310 S 24TH St
Omaha, NE 68107-1805

Mailing address

4920 S 30TH St
Suite 103
Omaha, NE 68107-1590
Phone (402) 734-4110

Other names 1

  • Teen and Young Adult Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080624000545 NE Part B Supplier - Clinic/Group Practice 3173435153 Receives reassigned benefits from 114 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Omaha, NE; Bellevue, NE; Plattsmouth, NE
O20160114001221 NE Part A Provider - Federally Qualified Health Center (FQHC) 3173435153 Practice locations: Omaha, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144690074. Details of each certification follow.

Federally qualified health center certification: CCN 281838

Legal name
ONEWORLD COMMUNITY HEALTH CENTERS INC
Doing business as
ONEWORLD SOUTH OMAHA ADOLSCENT CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 13, 2016
Last certification
Jan 13, 2016
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Feb 20, 1973 in NE
Enrollment address
4310 S 24TH St
Omaha, NE 68107-1805

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Oneworld Community Health Centers Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

4310 S 24th St
Omaha, NE 68107
Phone (402) 502-8841

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrea M Skolkin Individual Corporate OfficerChief Executive Officer Aug 4, 2004 100%
W-2 Managing EmployeeChief Executive Officer Aug 4, 2004 100%

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Spring Lake Elementary SchoolOmaha, NE, CCN 281816 Federally qualified health center Other Sep 30, 2010
Indian Hill Elementary School Based Health CenterOmaha, NE, CCN 281815 Federally qualified health center Other Aug 1, 2010
Liberty Elementary School Based ClinicOmaha, NE, CCN 281814 Federally qualified health center Other Sep 30, 2010
Oneworld Community Health Centers, IncOmaha, NE, CCN 281828 Federally qualified health center Other Mar 5, 2013
Oneworld Community Health Centers, Inc.Omaha, NE, CCN 281830 Federally qualified health center Other Apr 12, 2013
Bryan High School Based Health CenterOmaha, NE, CCN 281831 Federally qualified health center Operational/Managerial Control Sep 23, 2013
Oneworld Community Health Centers IncOmaha, NE, CCN 281852 Federally qualified health center Other Aug 19, 2019
Oneworld RalstonOmaha, NE, CCN 281082 Federally qualified health center Other Feb 14, 2023
Oneworld Community Health Centers IncOmaha, NE, CCN 281923 Federally qualified health center Other May 1, 2023
Oneworld Community Health Centers IncOmaha, NE, CCN D01014 Federally qualified health center Other Sep 16, 2024
Oneworld Hillside School Based Health CenterOmaha, NE, CCN D01016 Federally qualified health center Other Jan 22, 2026

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1144690074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 S 30TH ST",
            "address_2": "SUITE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071590",
            "telephone_number": "402-734-4110",
            "fax_number": "402-991-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071805",
            "telephone_number": "402-502-8880",
            "fax_number": "402-502-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEWORLD COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "SKOLKIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "402-502-8842"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NE",
            "license": "HC018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teen and Young Adult Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.