Active NPI
Oda Home Care LLC
- In Home Supportive Care Agency
- Omaha, NE
National Provider Identifier
1770243990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Chore Provider | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64472890 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
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.