NPIMap

Organization Active NPI

Bluemoon Home Care Services LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1962200774
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 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
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

4344 Seward St
Omaha, NE 68111-3951

Mailing address

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.