NPIMap

Organization Active NPI

Aegis Nebraska LLC

  • Community Based Hospice Care Agency
  • Omaha, NE
National Provider Identifier
1912748286
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AEGIS NEBRASKA LLC
Practice address
8214 F St Ste a
Omaha, NE 68127-1740
Phone
(402) 331-2273
Fax
(402) 933-4255
NPI assigned
Jun 3, 2024
Organization subpart
Yes
Parent organization
AEGIS NEBRASKA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Sena Kelsey
Title
Provider Enrollment Specialist
Phone
(435) 514-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

8214 F St Ste a
Omaha, NE 68127-1740

Mailing address

8214 F St Ste a
Omaha, NE 68127-1740
Phone (402) 331-2273

Other names 1

  • Aegis Home Health and Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241120003060 NE Part A Provider - Hospice 8325573819 Practice locations: Omaha, NE

Hospice certification: CCN 281560

Legal name
AEGIS NEBRASKA LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 27, 2025
Last certification
Mar 13, 2025
Organization structure
LLCProprietary
Enrollment address
8214 F St
Ste a
Omaha, NE 68127-1740

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Aegis HospiceCCN 281560
Certified
Mar 27, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Aegis Nebraska LLC2 organizations share this tax ID, including this one
Part of
Aegis Nebraska LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8214 F St
Ste A
Omaha, NE 68127
Phone (402) 331-2273

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Aegis Health Care LLC Organization, Logan, UT LLC 5% Or Greater Direct Ownership Interest May 28, 2024 100%
Mark Jorgensen Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 10.65%
Benjamin Larsen Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 23.83%
Tyler Franklin Pace Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 12.39%
Marc Dunn Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 10.65%
Gregory W Larsen Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 10.65%
Nicholas a Larsen Individual 5% Or Greater Indirect Ownership Interest May 28, 2024 31.83%
Erin Audry Crawford Individual W-2 Managing EmployeeAd;MD; Sep 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1912748286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 F ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271740",
            "telephone_number": "402-331-2273",
            "fax_number": "402-933-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 F ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271740",
            "telephone_number": "402-331-2273",
            "fax_number": "402-933-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS NEBRASKA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEGIS NEBRASKA LLC",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "SENA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "435-514-5646"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aegis Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.