Individual provider Active NPI

Mahogany Dortch

  • Personal Care Attendant
  • Omaha, NE
National Provider Identifier
1942007372
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
4611 S 96TH St Ste 134
Omaha, NE 68127-1240
Phone
(402) 607-8344
Fax
(402) 607-8367
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 28335 NE
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

4611 S 96TH St Ste 134
Omaha, NE 68127-1240

Mailing address

4611 S 96TH St Ste 134
Omaha, NE 68127-1240
Phone (402) 607-8344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28335NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Expertise Homecare LLC CurrentSince Mar 11, 2025 Accepting new patients
Caring Expertise LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

4611 S 96th St
Ste 134
Omaha, NE 68127
Phone (402) 607-8344

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1942007372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST STE 134",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271240",
            "telephone_number": "402-607-8344",
            "fax_number": "402-607-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST STE 134",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271240",
            "telephone_number": "402-607-8344",
            "fax_number": "402-607-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORTCH",
        "first_name": "MAHOGANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "28335",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "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 25, 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.