Heritage Oncare Home Health LLC
Organization Active NPI Home Health Agency · Omaha, NE
NPI 1780196451 · NPPES record last updated Jun 26, 2018
Key facts
- NPI
- 1780196451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- HERITAGE ONCARE HOME HEALTH LLC
- Practice address
- 16934 Frances St Ste 200
Omaha, NE 68130 - Phone
- (403) 403-4330
- NPI assigned
- Nov 2, 2017
- Organization subpart
- No
Authorized official
- Name
- Krista Leigh Upson, RN, BSN
- Title
- Administrator
- Phone
- (402) 403-4330
Facilities with the same owner 2
Practitioners 2
-
Kate Patricia Horn, APRN-NP
Affiliated clinicians 24
-
Mitchell Barrett, APRN
-
Abelardo C Cruz, MD
-
Brian J Finley, MD
-
Michael F Giitter, M.D.
-
Elizabeth Noelle Harlow, M.D.
-
Brian Harris, M.D.
-
Sarah Hehn, APRN, FNP-C
-
Jessie Samantha Jenkins, M.D.
-
Lisa J Lehr, APRN
-
Heather M Morgan, M.D.
-
Cynthe M Oliver-Dumler, APRN
-
Shana Marie Peper, M.D.
-
Robert L Recker, M.D.
-
Susan G Scholer, M.D.
-
Monty Roy Sellon, M.D.
-
Kylee Victoria Stanley, M.D.
-
Edward J Taylor, M.D.
-
Thomas A Wolf, MD
-
John A Woodruff, M.D.
-
Steven H Zuber, M.D.
-
Brian C Gartrell, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Heritage Oncare Home Health, LLC
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Oct 31, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2141020 | Heritage Oncare Home Health, LLC | Certificate of waiver | Dec 4, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Home health agency certification: CCN 287155
- Legal name
- HERITAGE ONCARE HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 31, 2018
- Last certification
- Jul 15, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 6, 2017 in NE
- Enrollment address
- 16934 Frances St
Ste 105
Omaha, NE 68130-2397
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Taylor Jackson |
Other |
Nov 2, 2025 | |
| Carlee Walker |
W-2 Managing Employee |
Nov 2, 2025 | |
| John C Buckley |
W-2 Managing Employee |
Mar 27, 2024 | 100% |
| Operational/Managerial Control |
Mar 27, 2024 | 100% | |
| Farhan Khan |
5% Or Greater Indirect Ownership Interest |
Oct 6, 2017 | 45% |
| Oncare Health LLC |
5% Or Greater Direct Ownership Interest | Apr 29, 2024 | 100% |
| Operational/Managerial Control | Apr 29, 2024 | 100% | |
| Nathan a Underwood |
5% Or Greater Indirect Ownership Interest |
Oct 6, 2017 | 45% |
| Amy a Birkel |
5% Or Greater Indirect Ownership Interest |
Oct 6, 2017 | 10% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180313000335 | NE | Part a Provider - Home Health Agency | 1951663871 | Practice locations: Omaha, NE |
National Provider Directory
Locations
16934 Frances St
Ste 105
Omaha, NE 68130
Phone (402) 403-4330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
16934 Frances St Ste 200
Omaha, NE 68130
Mailing address
16934 Frances St Ste 200
Omaha, NE 68130-2397
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.