Active NPI
Zutan Home Healthcare, Inc.
- Home Health Agency
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA200803
- Legal business name
- ZUTAN HOME HEALTHCARE, INC.
- Practice address
- 9529 Sprague St
Omaha, NE 68134-3840 - Phone
- (402) 504-3326
- Fax
- (402) 884-1188
- NPI assigned
- Dec 8, 2009
- Last updated
- Dec 22, 2014
- 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
- Augustina Anyaegbunam
- Title
- Administrator
- Phone
- (402) 917-3406
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA200803 | NE | Primary |
Addresses
Primary practice location
9529 Sprague St
Omaha, NE 68134-3840
Mailing address
9529 Sprague St
Omaha, NE 68134-3840
Phone (402) 917-3406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA200803 | Other | NE | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100624000688 | NE | Part A Provider - Home Health Agency | 3779614417 | Practice locations: Omaha, NE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407185143. Details of each certification follow.
Home health agency certification: CCN 287139
- Legal name
- ZUTAN HOME HEALTHCARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 3, 2011
- Last certification
- Dec 12, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 18, 2008 in NE
- Enrollment address
- 3909 Cuming St
Ste 203
Omaha, NE 68131-1225
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Zutan Home Healthcare, Inc.
- Ownership
- Proprietary
- Certified
- Mar 3, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2012317 | Zutan Home Healthcare, Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
3909 Cuming St
Ste 203
Omaha, NE 68131
Phone (402) 504-3326
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marilyn Marie McGary | W-2 Managing Employee | Mar 6, 2015 | |
| Augustina N Anyaegbunam | 5% Or Greater Direct Ownership Interest | Apr 30, 2010 | 100% |
| Corporate Officer | Apr 18, 2008 | ||
| Corporate Director | Apr 18, 2008 | ||
| Ugochukwu Z Anyaegbunam | W-2 Managing Employee | Jul 5, 2011 | |
| Gregory Ucheagwu | Corporate Director | Nov 16, 2016 |
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Registered Nurse
- Omaha, NE
- NPI 1033008552
-
- Personal Care Attendant
- Omaha, NE
- NPI 1407781131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419206400000",
"number": "1407185143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9529 SPRAGUE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681343840",
"telephone_number": "402-917-3406",
"fax_number": "402-884-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9529 SPRAGUE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681343840",
"telephone_number": "402-504-3326",
"fax_number": "402-884-1188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZUTAN HOME HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2014-12-22",
"status": "A",
"authorized_official_last_name": "ANYAEGBUNAM",
"authorized_official_first_name": "AUGUSTINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "402-917-3406"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NE",
"license": "HHA200803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "HHA200803",
"state": "NE"
}
],
"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 Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.