NPIMap

Organization Active NPI

Person Centered Developmental Disabilities LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1891590048
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PERSON CENTERED DEVELOPMENTAL DISABILITIES LLC
Practice address
4942 S 114TH St
Omaha, NE 68137-2324
Phone
(402) 509-4480
Fax
(402) 982-4099
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Miss Crystal Nicole Everett, RNNPI 1538994504
Title
Ceo/Director
Phone
(402) 509-4480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4942 S 114TH St
Omaha, NE 68137-2324

Mailing address

4942 S 114TH St
Omaha, NE 68137-2324
Phone (402) 509-4480

National Provider Directory

National Provider Directory

Locations

4940 S 114th St
Ste 4
Omaha, NE 68137
Phone (402) 509-4480

4942 S 114th St
Omaha, NE 68137
Phone (402) 509-4480

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1891590048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 S 114TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372324",
            "telephone_number": "402-509-4480",
            "fax_number": "402-982-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4942 S 114TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372324",
            "telephone_number": "402-509-4480",
            "fax_number": "402-982-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSON CENTERED DEVELOPMENTAL DISABILITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "402-509-4480",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 2026; 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.