NPIMap

Organization Active NPI

Father Flanagan'S Boys' Home

  • Children's Hospital
  • Omaha, NE
National Provider Identifier
1457458556
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
260004 Issued in NE
Legal business name
FATHER FLANAGAN'S BOYS' HOME
Practice address
555 N 30TH St
Omaha, NE 68131-2136
Phone
(402) 498-6509
Fax
(402) 498-6357
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Bridgette Renbarger
Title
Cfo
Phone
(531) 355-3121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 260004 NE Primary
Children's Hospital 282NC2000X H000107 NE

Addresses

Primary practice location

555 N 30TH St
Omaha, NE 68131-2136

Mailing address

555 N 30TH St
Omaha, NE 68131-2136
Phone (402) 498-6509

Other practice location 1

14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-6000

Other identifiers 4

IdentifierTypeStateIssuer
012840MedicaidSD
00154OtherNEBCBS OF NE (HOSPITAL)
H342OtherNEMIDLANDS CHOICE HOSPITAL
0913178MedicaidIA

Other names 1

  • Boys Town National Research Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524000807 NE Part A Provider - Hospital 9638165400 Practice locations: Boys Town, NE

Hospital certification: CCN 283300

Legal name
FATHER FLANAGANS BOYS HOME
Doing business as
BOYS TOWN NATIONAL RESEARCH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 1984
Last certification
Jun 29, 2017
Beds
66
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1920 in NE
Enrollment address
14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Main/Primary Hospital Location
Hospital subgroups
Children’s

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Boys Town Natl Research8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

320 McKenzie Ave
Ste 202
Council Bluffs, IA 51503
Phone (712) 256-5272

14040 Boys Town Hospital Rd
Ste 100
Boys Town, NE 68010
Phone (531) 355-6800

14092 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (531) 355-1449

525 N 132nd St
Ste 200
Omaha, NE 68154

17030 Lakeside Hills Plz
Ste 118
Omaha, NE 68130

13930 Gold Cir
Omaha, NE 68144
Phone (402) 334-5880

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Janet S Twyman Individual Corporate Director Jun 8, 2023
Dennis J Esterbrooks Individual Corporate Director Jun 13, 2024
Anthony J Aquino Individual Corporate Director Apr 5, 2024
Robert a Nkogo-Nze Individual Corporate Director Dec 1, 2022
Dorothy a Zolandz Individual Corporate Director Nov 14, 2022
Jason C Bruce Individual Corporate OfficerExecutive VP of Healthcare/Director Nov 9, 2020
W-2 Managing EmployeeExecutive VP of Healthcare/Director Nov 9, 2020
Operational/Managerial ControlExecutive VP of Healthcare/Director Nov 9, 2020
Sherrye L Hutcherson Individual Corporate Director Jun 3, 2021
Heather C Forkey Individual Corporate Director Jun 13, 2024
Thomas J Culhane Individual Corporate Director Nov 15, 2021
Monty J Horine Individual Corporate Officer Jun 14, 2019
Helen a Fox - Obrien Individual Corporate Director Mar 24, 2022
Dana E Washington Individual Corporate Officer Sep 9, 2016
Richard J Velasco Individual Corporate Director Jun 2, 2022
Thomas B Barker Individual Corporate Officer Apr 4, 2025
Corporate Director Jun 18, 2020
Mark C Tilden Individual Corporate Director Dec 1, 2022
Rodney J Kempkes Individual Corporate Officer Oct 25, 2018
Nancy Bopes Individual Corporate OfficerAssistant Corporate Secretary Apr 4, 2025
Bridgette M Renbarger Individual Corporate OfficerExecutive VP Finance/Cfo/Treasurer Mar 31, 2025
Anna E McCaslin Individual W-2 Managing Employee Jul 8, 2019
Operational/Managerial Control Jul 8, 2019
Deepak S Madhavan Individual W-2 Managing EmployeeChief Medical Officer Sep 24, 2021
Operational/Managerial ControlChief Medical Officer Sep 24, 2021
Linda a Leblanc Individual Corporate Director Dec 5, 2019
Robert a Simard Individual Corporate Officer Jan 8, 2024
Jodi L Probst Individual Corporate Director Jun 13, 2018
Joni W Wheeler Individual Corporate Officer Apr 4, 2025
Corporate Director Jun 3, 2021

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 107

Affiliated clinicians 43

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 43

Care Compare: Hospital

Medicare Care Compare
Listed as
Boys Town National Research HospitalCCN 283300
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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
28D1057348Boys Town National Research Hospital - West14000 Boys Town Hospital Road, Boys Town, NE 68010AccreditationJan 6, 2028

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1457458556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312136",
            "telephone_number": "402-498-6509",
            "fax_number": "402-498-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312136",
            "telephone_number": "402-498-6509",
            "fax_number": "402-498-6357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 Boys Town Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Boys Town",
            "state": "NE",
            "postal_code": "680107513",
            "country_code": "US",
            "telephone_number": "531-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FATHER FLANAGAN'S BOYS' HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "RENBARGER",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "531-355-3121"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NE",
            "license": "260004",
            "primary": true
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NE",
            "license": "H000107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012840",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE (HOSPITAL)",
            "identifier": "00154",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE HOSPITAL",
            "identifier": "H342",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0913178",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boys Town National Research Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boys Town National Research Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.