NPIMap

Organization Active NPI

Succor Homehealth Care LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1497574594
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUCCOR HOMEHEALTH CARE LLC
Practice address
7805 L St Ste 140
Omaha, NE 68127-1870
Phone
(402) 331-5814
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Terrance TilsonNPI 1285406975
Title
Director of Operations
Phone
(402) 609-9544

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

7805 L St Ste 140
Omaha, NE 68127-1870

Mailing address

7805 L St Ste 140
Omaha, NE 68127-1870

Other practice location 1

7805 L St Ste 140
Omaha, NE 68127-1870
Phone (402) 331-5814

Other names 1

  • Succor HomeHealth Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1497574594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 L ST STE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 L ST STE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271870",
            "telephone_number": "402-331-5814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7805 L St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681271870",
            "country_code": "US",
            "telephone_number": "402-331-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUCCOR HOMEHEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "402-609-9544"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Succor HomeHealth Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Succor HomeHealth Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 2025; 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.