NPIMap

Organization Active NPI

Succor Home Care LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Omaha, NE
National Provider Identifier
1760201867
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SUCCOR HOME CARE LLC
Practice address
7805 L St Ste 140
Omaha, NE 68127-1870
Phone
(402) 331-5814
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Terrance TilsonNPI 1285406975
Title
Director of Operations
Phone
(531) 375-1013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

7805 L St Ste 140
Omaha, NE 68127-1870

Mailing address

7805 L St Ste 140
Omaha, NE 68127-1870

Other names 1

  • Succor Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

7805 L St
Ste 140
Omaha, NE 68127
Phone (402) 331-5814

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1760201867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 L ST STE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 L ST STE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271870",
            "telephone_number": "402-331-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCOR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "DIRECTOR OF  OPERATIONS",
        "authorized_official_telephone_number": "531-375-1013"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Succor Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Succor Home 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 Jan 15, 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.