Organization Active NPI

Aegis Nebraska LLC

Doing business as Aegis Home Health and Hospice

  • Home Health Agency
  • Omaha, NE
National Provider Identifier
1669213930
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AEGIS NEBRASKA LLC
Doing business as
Aegis Home Health and Hospice
Practice address
8214 F St Ste B
Omaha, NE 68127-1740
Phone
(402) 331-2273
Fax
(402) 933-4255
NPI assigned
Jun 3, 2024
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AEGIS NEBRASKA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Sena Kelsey
Title
Provider Enrollment Specialist
Phone
(435) 514-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

8214 F St Ste B
Omaha, NE 68127-1740

Mailing address

8214 F St Ste B
Omaha, NE 68127-1740
Phone (402) 331-2273

Other names 1

  • Aegis Home Health and Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204003731 NE Part A Provider - Home Health Agency 8325573819 Practice locations: Omaha, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669213930. Details of each certification follow.

Home health agency certification: CCN 287805

Legal name
AEGIS NEBRASKA LLC
Doing business as
AEGIS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 2025
Last certification
Mar 19, 2025
Organization structure
LLCProprietary
Incorporated
May 28, 2024 in NE
Enrollment address
8214 F St
Ste B
Omaha, NE 68127-1740

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aegis Home HealthCCN 287805 · All quality measures
Ownership
-
Certified
Apr 1, 2025
Medicare certification status
ActiveFrom the Provider of Services file

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
28D2311630Aegis Home Health Care8214 F Street, Suite B, Omaha, NE 68127Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
Aegis Nebraska LLC2 organizations share this tax ID, including this one
Part of
Aegis Nebraska LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8214 F St
Ste A
Omaha, NE 68127
Phone (402) 331-2273

8214 F St
Ste B
Omaha, NE 68127
Phone (402) 331-2273

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Aegis Health Care LLC Organization, Logan, UT LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 28, 2024 100%
Mark Jorgensen Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 10.65%
Benjamin Larsen Individual 5% Or Greater Indirect Ownership InterestCeo May 28, 2024 23.83%
Tyler Franklin Pace Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 12.39%
Marc Dunn Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 10.65%
Gregory W Larsen Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 10.65%
Nicholas a Larsen Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 31.83%
Erin Audry Crawford Individual W-2 Managing EmployeeAd; Sep 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1669213930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 F ST STE B",
            "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": "8214 F ST STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271740",
            "telephone_number": "402-331-2273",
            "fax_number": "402-933-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS NEBRASKA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEGIS NEBRASKA LLC",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "SENA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "435-514-5646"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aegis Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.