Organization Active NPI

Zutan Home Healthcare, Inc.

  • Home Health Agency
  • Omaha, NE
National Provider Identifier
1407185143
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA200803 Issued in NE
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Augustina AnyaegbunamNPI 1033008552
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA200803OtherNESTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 287139 · All quality measures
Ownership
Proprietary
Certified
Mar 3, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2012317Zutan Home Healthcare, Inc9529 Sprague Street, Omaha, NE 68134Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Marilyn Marie McGary Individual W-2 Managing EmployeeAdministrator Mar 6, 2015
Augustina N Anyaegbunam Individual 5% Or Greater Direct Ownership Interest Apr 30, 2010 100%
Corporate OfficerPresident Apr 18, 2008
Corporate DirectorPresident Apr 18, 2008
Ugochukwu Z Anyaegbunam Individual W-2 Managing EmployeeDirector of Operations Jul 5, 2011
Gregory Ucheagwu Individual Corporate DirectorBoard Member 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.

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

Verify at the official NPI Registry.