Organization Active NPI

Supporting Lives in Nebraska, LLC

  • In Home Supportive Care Agency
  • Lincoln, NE
National Provider Identifier
1184422602
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPPORTING LIVES IN NEBRASKA, LLC
Practice address
3939 N 48TH St Ste 104
Lincoln, NE 68504-1401
Phone
(531) 225-5295
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Tara E Williams
Title
Ceo
Phone
(531) 225-5295

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3939 N 48TH St Ste 104
Lincoln, NE 68504-1401

Mailing address

3939 N 48TH St Ste 104
Lincoln, NE 68504-1401
Phone (531) 225-5295

National Provider Directory

National Provider Directory

Locations

3939 N 48th St
Ste 104
Lincoln, NE 68504
Phone (531) 225-5295

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1184422602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 N 48TH ST STE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041401",
            "telephone_number": "531-225-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 N 48TH ST STE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041401",
            "telephone_number": "531-225-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTING LIVES IN NEBRASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "531-225-5295"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.