NPIMap

Organization Active NPI

Pride Ridge Home Care LLC

  • Home Health Agency
  • Bellevue, NE
National Provider Identifier
1508562828
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIDE RIDGE HOME CARE LLC
Practice address
505 Cornhusker Rd Ste 105 PMB 351
Bellevue, NE 68005-7911
Phone
(402) 915-0499
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Peter WangaiNPI 1295547388
Title
Owner
Phone
(402) 915-0499

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

505 Cornhusker Rd Ste 105 PMB 351
Bellevue, NE 68005-7911

Mailing address

505 Cornhusker Rd Ste 105
PMB 351
Bellevue, NE 68005-7911
Phone (402) 915-0499

Other names 1

  • Pride Ridge Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

505 Cornhusker Rd
Ste 105
Bellevue, NE 68005
Phone (402) 915-0499

Practitioners & affiliated clinicians

Practitioners 7

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": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1508562828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CORNHUSKER RD STE 105",
            "address_2": "PMB 351",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680057911",
            "telephone_number": "402-915-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CORNHUSKER RD STE 105 PMB 351",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680057911",
            "telephone_number": "402-915-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE RIDGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "WANGAI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-915-0499"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pride Ridge Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.