Active NPI
Lotus Homecare, LLC
- Home Health Aide
- Omaha, NE
National Provider Identifier
1295480424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- LOTUS HOMECARE, LLC
- Practice address
- 4822 N 133Rd PLZ Apt 702
Omaha, NE 68164-1022 - Phone
- (402) 319-2637
- NPI assigned
- Feb 16, 2022
- 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
- Trevor Lotanna Anyaegbu, RN
- Title
- Ceo
- Phone
- (402) 612-2080
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X |
Addresses
Primary practice location
4822 N 133Rd PLZ Apt 702
Omaha, NE 68164-1022
Mailing address
4822 N 133Rd PLZ Apt 702
Omaha, NE 68164-1022
Phone (402) 319-2637
Other names 1
- NA
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644969600000",
"number": "1295480424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 N 133RD PLZ APT 702",
"city": "OMAHA",
"state": "NE",
"postal_code": "681641022",
"telephone_number": "402-319-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 N 133RD PLZ APT 702",
"city": "OMAHA",
"state": "NE",
"postal_code": "681641022",
"telephone_number": "402-319-2637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS HOMECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-16",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A",
"authorized_official_last_name": "ANYAEGBU",
"authorized_official_first_name": "TREVOR",
"authorized_official_middle_name": "LOTANNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "402-612-2080",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NA",
"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 Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.