Organization Active NPI

Oda Home Care LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1770243990
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ODA HOME CARE LLC
Practice address
225 S 25TH St
Omaha, NE 68131-3601
Phone
(701) 500-6189
NPI assigned
Dec 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Mohammed Abdulaizz, LAB TECHNOLOGIST
Title
Manger
Phone
(701) 500-6189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Chore ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 372500000X

Addresses

Primary practice location

225 S 25TH St
Omaha, NE 68131-3601

Mailing address

6829 N 72ND St
Omaha, NE 68122-1723
Phone (701) 500-6189

Other identifiers 1

IdentifierTypeStateIssuer
64472890MedicaidNE

National Provider Directory

National Provider Directory

Locations

225 S 25th St
Omaha, NE 68131
Phone (701) 500-6189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1770243990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 N 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221723",
            "telephone_number": "701-500-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 25TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313601",
            "telephone_number": "701-500-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "ABDULAIZZ",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "701-500-6189",
        "authorized_official_credential": "LAB TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64472890",
            "state": "NE"
        }
    ],
    "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 Jan 22, 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.