NPIMap

Organization Active NPI

Epitomecare LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Omaha, NE
National Provider Identifier
1356202121
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
EPITOMECARE LLC
Practice address
1010 Florence Blvd Apt 355
Omaha, NE 68102-4272
Phone
(531) 739-2420
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Schadrack Shumbusho
Title
Co-Founder
Phone
(531) 739-2420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1010 Florence Blvd Apt 355
Omaha, NE 68102-4272

Mailing address

1010 Florence Blvd Apt 355
Omaha, NE 68102-4272
Phone (531) 739-2420

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1356202121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 FLORENCE BLVD APT 355",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024272",
            "telephone_number": "531-739-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 FLORENCE BLVD APT 355",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024272",
            "telephone_number": "531-739-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPITOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "SHUMBUSHO",
        "authorized_official_first_name": "SCHADRACK",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "531-739-2420"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "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 Nov 20, 2025; 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.