Omaha Native LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OMAHA NATIVE LLC

Doing business as

HomeCare Advocacy Network

Practice address

3610 N 163Rd PLZ # 101
Omaha, NE 68116-2164

Phone

(402) 359-1996

NPI assigned

Sep 15, 2020

Last updated

Sep 15, 2020By 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

Ryan Matthew Gray

Title

Co-Owner

Phone

(402) 359-1996

Specialties & licenses 1

Addresses

Other names 1

• HomeCare Advocacy Network Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juli Rae Gray

  • Personal Care Attendant
  • Omaha, NE
  • NPI 1811887169
  NPD

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1306451315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 N 163RD PLZ # 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162164",
            "telephone_number": "402-359-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N 163RD PLZ # 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162164",
            "telephone_number": "402-359-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA NATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "402-359-1996"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare Advocacy Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• In Home Supportive Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.