Organization Active NPI

Blue Coral Home Care LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1174414262
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUE CORAL HOME CARE LLC
Doing business as
Blue Coral Home Care LLC
Practice address
3333 Meredith Ave
Omaha, NE 68111-2337
Phone
(531) 218-4903
NPI assigned
Jul 15, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Lauren Nancy NguidjolNPI 1215743653
Title
Owner/Operator
Phone
(531) 218-4903

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 1

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

Addresses

Primary practice location

3333 Meredith Ave
Omaha, NE 68111-2337

Mailing address

3333 Meredith Ave
Omaha, NE 68111-2337
Phone (531) 218-4903

Other names 1

  • Blue Coral Home Care LLC Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1174414262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 MEREDITH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681112337",
            "telephone_number": "531-218-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MEREDITH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681112337",
            "telephone_number": "531-218-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CORAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "NGUIDJOL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "NANCY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "531-218-4903"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Coral Home Care LLC",
            "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 Jul 15, 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.