Midland Modesty Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA201801 Issued in NE

Legal business name

MIDLAND MODESTY HOME HEALTHCARE LLC

Doing business as

Midland Modesty Home Healthcare

Practice address

11414 W Center Rd Ste 340
Omaha, NE 68144-4425

Phone

(402) 932-3643

NPI assigned

May 22, 2018

Last updated

May 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pauline M Ngoeh

Title

Administrator/Owner

Phone

(402) 932-3643

Specialties & licenses 1

Addresses

Other names 1

• MIDLAND MODESTY HOME HEALTHCARE Doing business as

Locations

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1265923502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 340",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444425",
            "telephone_number": "402-932-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 340",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444425",
            "telephone_number": "402-932-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND MODESTY HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "NGOEH",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "402-932-3643"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "HHA201801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDLAND MODESTY HOME HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Midplains Podiatry

• Home Health Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• Home Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.