NPIMap

Organization Active NPI

Family Enrichment Inc

  • Social Worker
  • Omaha, NE
National Provider Identifier
1164582169
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
FAMILY ENRICHMENT INC
Practice address
820 South 75TH Street
Omaha, NE 68114-4623
Phone
(402) 391-2477
Fax
(402) 397-4268
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Priscilla S Thralls
Title
Secretary
Phone
(402) 391-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

820 South 75TH Street
Omaha, NE 68114-4623

Mailing address

820 South 75TH Street
Omaha, NE 68114-4623
Phone (402) 391-2477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050302000740 NE Part B Supplier - Clinic/Group Practice 5698728509 Receives reassigned benefits from 7 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

8610 Cass St
#3
Omaha, NE 68114
Phone (402) 391-2477

Practitioners & affiliated clinicians

Practitioners 10

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1164582169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SOUTH 75TH STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144623",
            "telephone_number": "402-391-2477",
            "fax_number": "402-397-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SOUTH 75TH STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144623",
            "telephone_number": "402-391-2477",
            "fax_number": "402-397-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ENRICHMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "THRALLS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "402-391-2477"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.