Jlynn Hartzell

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

18930 Grover St
Omaha, NE 68130-6089

Phone

(402) 320-3057

NPI assigned

Sep 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revive Community Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Council Bluffs, IA
  • NPI 1548086440

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1508691965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18930 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306089",
            "telephone_number": "402-320-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18930 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306089",
            "telephone_number": "402-320-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZELL",
        "first_name": "JLYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Hartung, APRN
• Ciera Rae Hartung
• Sean Hartwell, MD
• Sarah Hartwig, OTRL
• Stacy Hartwig
• Alexandra L Harvey, LIMHP
• Angela Harvey
• Jeffrey J Harvey, LMHP
• Jennifer Harvey
• Lauren Campbell Harvey

• Adult Day Care Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Adult Day Care Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.