Lynette Bolden

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

13919 S PLZ
Omaha, NE 68137-2916

Phone

(402) 896-9988

NPI assigned

Mar 10, 2025

Last updated

Jul 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Galliant NE LLC

  • Behavior Analyst
  • Elkhorn, NE
  • NPI 1245937044

  Behavior Technician

  NPD
• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Omaha, NE
  • NPI 1467648725
  NPD
• Sanctuary Solutions

  • Home Health Aide
  • Omaha, NE
  • NPI 1740073311
  NPD (past)

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1891594164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20010 MANDERSON ST STE 104",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680221264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13919 S PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372916",
            "telephone_number": "402-896-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20010 Manderson St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680221264",
            "country_code": "US",
            "telephone_number": "972-777-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "LYNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Raymond Boland, MD
• Aliya Bolden
• Anna Bolden
• Jasmine Bolden
• Ladonna Bolden
• Jared D Bolding, D.D.S.
• Amanda A Boldt
• Kristina Marie Boldt, RN, BSN, PMHNP-S
• Paige Boldt, T-LMHC
• Fondra Jeanne Bolen

• In Home Supportive Care Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• In Home Supportive Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.