Organization Active NPI

Eco Supportive Living

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1740030188
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ECO SUPPORTIVE LIVING
Practice address
617 N 90TH St
Omaha, NE 68114-2821
Phone
(402) 830-9090
Fax
(531) 201-3363
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Neri Jordan
Title
Chief Operating Officer
Phone
(402) 979-4068

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

617 N 90TH St
Omaha, NE 68114-2821

Mailing address

617 N 90TH St
Omaha, NE 68114-2821
Phone (402) 830-9090

National Provider Directory

National Provider Directory

Locations

8611 Blondo St
Ste 1
Omaha, NE 68134
Phone (402) 830-9090

617 N 90th St
Omaha, NE 68114
Phone (402) 830-9090

Practitioners & affiliated clinicians

Practitioners 171

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 171

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1740030188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142821",
            "telephone_number": "402-830-9090",
            "fax_number": "531-201-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142821",
            "telephone_number": "402-830-9090",
            "fax_number": "531-201-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECO SUPPORTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "NERI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "402-979-4068"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 6, 2026; 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.