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Bluemoon Home Care Services LLC

Organization Active NPI In Home Supportive Care Agency · Omaha, NE

NPI 1962200774 · NPPES record last updated Mar 6, 2025

Key facts

NPI
1962200774
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
BLUEMOON HOME CARE SERVICES LLC
Practice address
4344 Seward St
Omaha, NE 68111-3951
Phone
(402) 214-6380
NPI assigned
Mar 6, 2025
Organization subpart
No

Authorized official

Name
Abdifatah Mohamed Aden
Title
Director
Phone
(402) 214-6380

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

4344 Seward St
Omaha, NE 68111-3951

Mailing address

4344 Seward St
Omaha, NE 68111-3951
Phone (402) 214-6380

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 6, 2025.

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1962200774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 SEWARD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113951",
            "telephone_number": "402-214-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 SEWARD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681113951",
            "telephone_number": "402-214-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEMOON HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "ABDIFATAH",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-214-6380"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

All providers in Omaha, NE · In Home Supportive Care Agency in Nebraska

Sources for this page

Verify at the official NPI Registry.