NPIMap

Organization Active NPI

Charter Hospice of Omaha, LLC

  • Community Based Hospice Care Agency
  • Omaha, NE
National Provider Identifier
1477808889
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HOSPICE 50 Issued in NE
Legal business name
CHARTER HOSPICE OF OMAHA, LLC
Practice address
4905 S 107TH Ave
Suite 205
Omaha, NE 68127-1965
Phone
(402) 926-4088
Fax
(402) 926-4197
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Sylvie Boal
Title
Corporate Counsel
Phone
(909) 644-4965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HOSPICE 50 NE Primary

Addresses

Primary practice location

4905 S 107TH Ave
Suite 205
Omaha, NE 68127-1965

Mailing address

4905 S 107TH Ave
Suite 205
Omaha, NE 68127-1965
Phone (402) 926-4088

National Provider Directory

National Provider Directory

Locations

4905 S 107th Ave
#205
Omaha, NE 68127
Phone (402) 597-2585

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1477808889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE",
            "address_2": "SUITE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271965",
            "telephone_number": "402-926-4088",
            "fax_number": "402-926-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE",
            "address_2": "SUITE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271965",
            "telephone_number": "402-926-4088",
            "fax_number": "402-926-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HOSPICE OF OMAHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "909-644-4965"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NE",
            "license": "HOSPICE 50",
            "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 Aug 30, 2021; 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.