Physician Homecare Associates

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

21349 Issued in NE

Legal business name

PHYSICIAN HOMECARE ASSOCIATES

Practice address

51 Ginger Woods Rd
Valley, NE 68064-9404

Phone

(402) 639-6660

Fax

(402) 359-2852

NPI assigned

Jul 18, 2006

Last updated

Jun 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernard C Hillyer, MDNPI 1992723886

Title

President/Owner

Phone

(402) 639-6660

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernard C Hillyer, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Valley, NE
  • NPI 1992723886
  Authorized official Same address or phone
• Jill S Rine

  • Medical Physician Assistant
  • Lincoln, NE
  • NPI 1437136405
  NPD
• Chad Michael Hillyer, PA-C

  • Dermatology Physician
  • Elkhorn, NE
  • NPI 1902825904
  NPD (past)
• Carissa J. Jessen, P.A.

  • Physician Assistant
  • Omaha, NE
  • NPI 1629063920
  NPD (past)
• Norman Ray Kelley, MD

  • Pediatric Adolescent Medicine Physician
  • Omaha, NE
  • NPI 1821017625
  NPD (past)
• Jeffrey Mark Pollens, DPM

  • Podiatrist
  • Omaha, NE
  • NPI 1710943279
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1942228820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GINGER WOODS RD",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680649404",
            "telephone_number": "402-639-6660",
            "fax_number": "402-359-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GINGER WOODS RD",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680649404",
            "telephone_number": "402-639-6660",
            "fax_number": "402-359-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HOMECARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "HILLYER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "402-639-6660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NE",
            "license": "21349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0573758",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025108500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Morrison
• Roxana Vasilica Muilenburg, LMHP
• Melissa Nicole O'Neil, OT
• Kristen Phillips, ED.S.
• Mary Phillips, RN
• Physicians Clinic, Inc. (Methodist Physicians Clinic)
• Aidan Remmick
• Katie Revels, D.C.
• Frank J Riha IV, DDS
• Shawn Rochford

• Geriatric Medicine (Family Medicine) Physician in Valley, NE
• Providers in Valley, NE by specialty
• Geriatric Medicine (Family Medicine) Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.