Active NPI
Lauren Nancy Nguidjol, LPN HBCS PROVIDER
- Home Health Aide
- Omaha, NE
National Provider Identifier
1215743653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3333 Meredith Ave
Omaha, NE 68111-2337 - Phone
- (531) 218-4903
- NPI assigned
- Dec 10, 2024
- Last updated
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | NE | ||
| Adult Companion | 372600000X | NE | ||
| Home Health Aide | 374U00000X | NE | Primary | |
| Licensed Practical Nurse | 164W00000X | 15597 | NE |
Addresses
Primary practice location
3333 Meredith Ave
Omaha, NE 68111-2337
Mailing address
3333 Meredith Ave
Omaha, NE 68111-2337
Phone (531) 225-9252
Other names 1
- Lauren Nancy Grigsby
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15597 | NE | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Coral Home Care LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Omaha, NE
- NPI 1174414262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1215743653",
"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": "531-225-9252"
},
{
"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": {
"last_name": "NGUIDJOL",
"first_name": "LAUREN",
"middle_name": "NANCY",
"credential": "LPN HBCS PROVIDER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NE",
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NE",
"license": "15597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "GRIGSBY",
"middle_name": "NANCY",
"credential": "LPN HBCS PROVIDER",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.