NPIMap

Organization Active NPI

Firstcare Home Health of Eastern Nebraska, Inc

  • Home Health Agency
  • Lincoln, NE
National Provider Identifier
1801898176
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
501003 Issued in NE
Legal business name
FIRSTCARE HOME HEALTH OF EASTERN NEBRASKA, INC
Practice address
3901 Normal Blvd
Ste 102
Lincoln, NE 68506-5200
Phone
(402) 435-1122
Fax
(402) 435-4854
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Ms. Cindy Rose Brennfoerder, RN
Title
Administrator
Phone
(402) 435-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 501003 NE Primary

Addresses

Primary practice location

3901 Normal Blvd
Ste 102
Lincoln, NE 68506-5200

Mailing address

3901 Normal Blvd
Ste 102
Lincoln, NE 68506-5200
Phone (402) 435-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817001031 NE Part A Provider - Home Health Agency 7810960846 Practice locations: Lincoln, NE

Home health agency certification: CCN 287090

Legal name
FIRSTCARE HOME HEALTH OF EASTERN NEBRASKA, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 11, 1995
Last certification
Jun 4, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 2, 1995 in NE
Enrollment address
3901 Normal Blvd
Ste 102
Lincoln, NE 68506-5200

Care Compare: Home health agency

Medicare Care Compare
Listed as
Firstcare Home Health of Eastern NebraskaCCN 287090 ยท All quality measures
Ownership
Proprietary
Certified
May 11, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3901 Normal Blvd
Ste 102
Lincoln, NE 68506
Phone (402) 435-1122

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Cindy R Brennfoerder Individual 5% Or Greater Direct Ownership InterestPresident/Treasure/Administrator Jul 6, 2016 100%
Corporate OfficerPresident/Treasure/Administrator May 28, 1996 100%
Corporate DirectorPresident/Treasure/Administrator May 28, 1996 100%
W-2 Managing EmployeePresident/Treasure/Administrator May 28, 1996 100%
Operational/Managerial ControlPresident/Treasure/Administrator May 28, 1996 100%
Steven C Wagner Individual Corporate OfficerSecretary Nov 6, 2013
Corporate DirectorBoard Member Nov 6, 2013
W-2 Managing EmployeeDirector of Professional Service Nov 23, 1996
Operational/Managerial ControlDirector of Professional Service Nov 23, 1996

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1801898176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NORMAL BLVD",
            "address_2": "STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065200",
            "telephone_number": "402-435-1122",
            "fax_number": "402-435-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NORMAL BLVD",
            "address_2": "STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065200",
            "telephone_number": "402-435-1122",
            "fax_number": "402-435-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCARE HOME HEALTH OF EASTERN NEBRASKA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "BRENNFOERDER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-435-1122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "501003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.