Organization Active NPI

Hospice Community Care of Nebraska, LLC

  • Community Based Hospice Care Agency
  • Lincoln, NE
National Provider Identifier
1942591946
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE COMMUNITY CARE OF NEBRASKA, LLC
Practice address
5550 S 59TH St Ste 12
Lincoln, NE 68516-2398
Phone
(402) 328-2350
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Matthew Lowe, CPA
Title
Cfo
Phone
(630) 682-3871

Specialties & licenses 1

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

Addresses

Primary practice location

5550 S 59TH St Ste 12
Lincoln, NE 68516-2398

Mailing address

1N131 County Farm Rd
Winfield, IL 60190-2000
Phone (630) 682-3871

Medicare participation

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

National Provider Directory

National Provider Directory

Locations

102 Grant St
#B
Aurora, NE 68818
Phone (402) 694-6085

5550 S 59th St
Ste 12
Lincoln, NE 68516
Phone (402) 328-2350

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 30, 2020 Change of OwnershipThis provider was the seller VitalcaringCCN 281546, NE, NPI 1245832617

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1942591946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1N131 COUNTY FARM RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902000",
            "telephone_number": "630-682-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S 59TH ST STE 12",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162398",
            "telephone_number": "402-328-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE COMMUNITY CARE OF NEBRASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-682-3871",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.