NPIMap

Organization Active NPI

Prime Home Developmental Disabilities Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Omaha, NE
National Provider Identifier
1366996548
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRIME HOME DEVELOPMENTAL DISABILITIES SERVICES, INC
Practice address
6818 Grover St
Suite 200
Omaha, NE 68106-3640
Phone
(402) 932-0072
Fax
(402) 614-8245
NPI assigned
Aug 5, 2016
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Rhonda K Bojanski
Title
Cheif Financial Officer
Phone
(402) 932-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

6818 Grover St
Suite 200
Omaha, NE 68106-3640

Mailing address

6818 Grover St
Omaha, NE 68106-3640
Phone (402) 932-0072

National Provider Directory

National Provider Directory
Tax ID family
Prime Home Developmental Disabilities Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6818 Grover St
Omaha, NE 68106
Phone (402) 932-0072

Practitioners & affiliated clinicians

Practitioners 283

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.

View all 283

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1366996548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063640",
            "telephone_number": "402-932-0072",
            "fax_number": "402-614-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 GROVER ST",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063640",
            "telephone_number": "402-932-0072",
            "fax_number": "402-614-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME DEVELOPMENTAL DISABILITIES SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "BOJANSKI",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "402-932-0072"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "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 Jun 3, 2026; 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.