Organization Active NPI

Executive Home Care Omaha LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1154115376
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXECUTIVE HOME CARE OMAHA LLC
Practice address
14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone
(402) 880-2462
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Stephen J Royer
Title
Owner
Phone
(402) 880-2462

Specialties & licenses 1

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

Addresses

Primary practice location

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200

Mailing address

14301 FNB Pkwy Ste 100
Omaha, NE 68154-7200
Phone (402) 880-2462

Other names 1

  • Executive Home Care of Omaha, NE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1154115376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-880-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 FNB PKWY STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681547200",
            "telephone_number": "402-880-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HOME CARE OMAHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-880-2462"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Home Care of Omaha, NE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Executive Home Care of Omaha, NE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 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.