Organization Active NPI

Stonegates Home Health LLC

  • Home Health Agency
  • Omaha, NE
National Provider Identifier
1497440788
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STONEGATES HOME HEALTH LLC
Practice address
16601 Meridian St
Omaha, NE 68136-1396
Phone
(402) 861-5442
Fax
(402) 939-0974
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Koffi Amouzou, RN
Title
Owner
Phone
(402) 861-5442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16601 Meridian St
Omaha, NE 68136-1396

Mailing address

16601 Meridian St
Omaha, NE 68136-1396
Phone (402) 861-5442

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
28D2280666Stonegates Home Health, LLC16601 Meridian Street, Omaha, NE 68136Certificate of waiverApr 23, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1497440788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 MERIDIAN ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361396",
            "telephone_number": "402-861-5442",
            "fax_number": "402-939-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 MERIDIAN ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361396",
            "telephone_number": "402-861-5442",
            "fax_number": "402-939-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEGATES HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "AMOUZOU",
        "authorized_official_first_name": "KOFFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-861-5442",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.