Beneficent4U LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BENEFICENT4U LLC

Practice address

1120 6TH Corso
Nebraska City, NE 68410-2747

Phone

(402) 713-0110

Fax

(402) 713-0285

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Tisha Kim Ellis, APRN NP

Title

Pmhnp-BC

Phone

(402) 541-2230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1801422357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N 68TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322648",
            "telephone_number": "402-541-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 6TH CORSO",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684102747",
            "telephone_number": "402-713-0110",
            "fax_number": "402-713-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFICENT4U LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TISHA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "402-541-2230",
        "authorized_official_credential": "APRN NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Nebraska City, NE
• Providers in Nebraska City, NE by specialty
• Adult Mental Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.