NPIMap

Organization Active NPI

Heritage Oncare Home Health LLC

  • Home Health Agency
  • Omaha, NE
National Provider Identifier
1780196451
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE ONCARE HOME HEALTH LLC
Practice address
16934 Frances St Ste 105
Omaha, NE 68130-2397
Phone
(402) 403-4330
Fax
(402) 933-2879
NPI assigned
Nov 2, 2017
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Taylor Jackson, LCSW
Title
Director of Quality and Compliance
Phone
(402) 403-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16934 Frances St Ste 105
Omaha, NE 68130-2397

Mailing address

16934 Frances St Ste 105
Ste 105
Omaha, NE 68130-2397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180313000335 NE Part A Provider - Home Health Agency 1951663871 Practice locations: Omaha, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780196451. Details of each certification follow.

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
LLCProprietary
Incorporated
Oct 6, 2017 in NE
Enrollment address
16934 Frances St
Ste 105
Omaha, NE 68130-2397

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heritage Oncare Home Health, LLCCCN 287155 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 31, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2141020Heritage Oncare Home Health, LLC16934 Frances Street, Suite 105, Omaha, NE 68130Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

Locations

16934 Frances St
Ste 105
Omaha, NE 68130
Phone (402) 403-4330

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Taylor Jackson Individual OtherDirector of Quality & Compliance Nov 2, 2025
Carlee Walker Individual W-2 Managing EmployeeAd; Nov 2, 2025
John C Buckley Individual W-2 Managing EmployeeSenior Vice President Mar 27, 2024 100%
Operational/Managerial ControlSenior Vice President Mar 27, 2024 100%
Farhan Khan Individual 5% Or Greater Indirect Ownership InterestCo-Owner Oct 6, 2017 45%
Oncare Health LLC Organization, Omaha, NE LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 29, 2024 100%
Operational/Managerial Control Apr 29, 2024 100%
Nathan a Underwood Individual 5% Or Greater Indirect Ownership InterestCo-Owner Oct 6, 2017 45%
Amy a Birkel Individual 5% Or Greater Indirect Ownership InterestCo-Owner Oct 6, 2017 10%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 24

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1780196451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16934 FRANCES ST STE 105",
            "address_2": "STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16934 FRANCES ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302397",
            "telephone_number": "402-403-4330",
            "fax_number": "402-933-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ONCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY AND COMPLIANCE",
        "authorized_official_telephone_number": "402-403-4330",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.