Active NPI
SD Home Care LLC
- Home Health Agency
- Omaha, NE
National Provider Identifier
1235911314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SD HOME CARE LLC
- Practice address
- 5094 S 108TH St
Omaha, NE 68137-2314 - Phone
- (531) 777-8859
- NPI assigned
- Oct 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tyrone Shields
- Title
- Owner
- Phone
- (402) 707-0909
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Transportation Network Company | 342000000X | |||
| Transportation Broker | 347E00000X | |||
| Home Health Clinical Nurse Specialist | 364SH0200X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
5094 S 108TH St
Omaha, NE 68137-2314
Mailing address
15130 Bauman Ave
Omaha, NE 68116-4475
Phone (402) 707-0909
National Provider Directory
National Provider DirectoryLocations
5094 S 108th St
Omaha, NE 68137
Phone (531) 777-8859
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Omaha, NE
- NPI 1114688686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697414400000",
"number": "1235911314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15130 BAUMAN AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681164475",
"telephone_number": "402-707-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5094 S 108TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372314",
"telephone_number": "531-777-8859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SD HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A",
"authorized_official_last_name": "SHIELDS",
"authorized_official_first_name": "TYRONE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-707-0909",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.