NPIMap

Organization Active NPI

Physicians Choice Nebraska LLC

Doing business as Physicians Choice Home Health Care

  • Home Health Agency
  • Omaha, NE
National Provider Identifier
1508833310
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA1047 Issued in NE
Legal business name
PHYSICIANS CHOICE NEBRASKA LLC
Doing business as
Physicians Choice Home Health Care
Practice address
8212 F St
Omaha, NE 68127-1740
Phone
(402) 331-2273
Fax
(402) 933-4255
NPI assigned
Mar 1, 2006
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Tim A. Manion
Title
Managing Director
Phone
(402) 827-7802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA1047 NE Primary

Addresses

Primary practice location

8212 F St
Omaha, NE 68127-1740

Mailing address

8212 F St
Omaha, NE 68127-1740
Phone (402) 331-2273

Other identifiers 1

IdentifierTypeStateIssuer
10025324300MedicaidNE

Other names 1

  • Physicians Choice Home Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000694 NE Part A Provider - Home Health Agency 4082658034 Practice locations: Lincoln, NE; Omaha, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508833310. Details of each certification follow.

Home health agency certification: CCN 287128

Legal name
PHYSICIANS CHOICE NEBRASKA, LLC
Doing business as
PHYSICIANS CHOICE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 4, 2005
Last certification
Oct 10, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 19, 2004 in NE
Enrollment address
8212 F St
Omaha, NE 68127-1740

Care Compare: Home health agency

Medicare Care Compare
Listed as
Physicians Choice Home Health CareCCN 287128 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 4, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
28D1041314Physicians Choice Home Health8212 F Street, Omaha, NE 68127Certificate of waiverMay 30, 2027

National Provider Directory

National Provider Directory

Locations

1001 S 70th St
Ste 108
Lincoln, NE 68510
Phone (402) 474-2273

8212 F St
Omaha, NE 68127
Phone (402) 331-2273

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
First Care Holdings, LLC Organization, Omaha, NE LLC 5% Or Greater Direct Ownership Interest May 19, 2004 100%
Operational/Managerial Control May 19, 2004 100%
Timothy a Manion Individual 5% Or Greater Indirect Ownership InterestExecutive Vice President May 19, 2001 40%
Corporate OfficerExecutive Vice President May 19, 2001 40%
Operational/Managerial ControlExcutive Vice President May 19, 2004
Laura a. Warren Individual W-2 Managing EmployeeAdministrator Mar 8, 2021
Operational/Managerial ControlAdministrator Mar 8, 2021
William E Roskens Individual 5% Or Greater Indirect Ownership InterestPresident May 19, 2004 60%
Corporate DirectorPresident May 19, 2004
Operational/Managerial ControlPresident May 19, 2004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1508833310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271740",
            "telephone_number": "402-331-2273",
            "fax_number": "402-933-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271740",
            "telephone_number": "402-331-2273",
            "fax_number": "402-933-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CHOICE NEBRASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "402-827-7802"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "HHA1047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025324300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Choice Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physicians Choice Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.