Individual provider Active NPI

Bendu Aletha Hallowanger Gray

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1336901974
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone
(402) 707-1188
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1299 Farnam St Ste 300
Omaha, NE 68102-1857

Mailing address

1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (402) 707-1188

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Journee' LLC In Home Supportive Care Current Accepting new patients

Locations

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1336901974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 FARNAM ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021857",
            "telephone_number": "402-707-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 FARNAM ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021857",
            "telephone_number": "402-707-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOWANGER GRAY",
        "first_name": "BENDU",
        "middle_name": "ALETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 29, 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.

Verify at the official NPI Registry.