Active NPI
Concordia Wound Care LLC
- Medical Specialty Clinic/Center
- Omaha, NE
National Provider Identifier
1619712155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- CONCORDIA WOUND CARE LLC
- Practice address
- 1299 Farnam St Ste 300
Omaha, NE 68102-1857 - Phone
- (414) 323-0260
- NPI assigned
- Jun 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Arnoldo Antonio Aleman II
- Title
- Managing Member
- Phone
- (414) 550-6002
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| Medical Specialty Clinic/Center | 261QM2500X | Primary | ||
| Recovery Care Clinic/Center | 261QR0800X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Mailing address
5750 Grandscape Blvd Apt 11402
The Colony, TX 75056-6996
Phone (414) 323-0260
Other names 1
- Mobile Wound Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1619712155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 GRANDSCAPE BLVD APT 11402",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750566996",
"telephone_number": "414-323-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 FARNAM ST STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021857",
"telephone_number": "414-323-0260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORDIA WOUND CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-15",
"status": "A",
"authorized_official_last_name": "ALEMAN",
"authorized_official_first_name": "ARNOLDO",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "414-550-6002",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mobile Wound 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 Jun 26, 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.