Agnes Anna Group Home LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

AGNES ANNA GROUP HOME LLC

Practice address

806 Hogan Dr
Papillion, NE 68046-2121

Phone

(402) 871-7869

Fax

(531) 484-2788

NPI assigned

Jan 21, 2025

Organization subpart

No

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

Authorized official

Name

Ndumu Anuh Thomas

Title

Owner

Phone

(402) 871-7869

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1679385488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HOGAN DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462121",
            "telephone_number": "402-871-7869",
            "fax_number": "531-484-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HOGAN DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462121",
            "telephone_number": "402-871-7869",
            "fax_number": "531-484-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNES ANNA GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NDUMU",
        "authorized_official_middle_name": "ANUH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-871-7869"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Papillion, NE
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• Developmentally Disabled Services Day Training Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.