Active NPI
Fremont Health
- Home Health Agency
- Fremont, NE
National Provider Identifier
1962441196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 251001
- Legal business name
- FREMONT HEALTH
- Practice address
- 2400 N Lincoln Ave
Suite B
Fremont, NE 68025-2443 - Phone
- (402) 721-1699
- Fax
- (402) 941-1688
- NPI assigned
- Jun 5, 2006
- Organization subpart
- Yes
- Parent organization
- FREMONT HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick M Booth
- Title
- President/Ceo
- Phone
- (402) 721-1610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 251001 | NE | Primary |
Addresses
Primary practice location
2400 N Lincoln Ave
Suite B
Fremont, NE 68025-2443
Mailing address
450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610
Other names 1
- Fremont Health Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Memorial Hosp of Dodgec
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2018 | Change of Ownership | Methodist Fremont Health Home Care |
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": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415145600000",
"number": "1962441196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252387",
"telephone_number": "402-721-1610",
"fax_number": "402-727-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 N LINCOLN AVE",
"address_2": "SUITE B",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252443",
"telephone_number": "402-721-1699",
"fax_number": "402-941-1688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREMONT HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FREMONT HEALTH",
"enumeration_date": "2006-06-05",
"last_updated": "2014-11-05",
"status": "A",
"authorized_official_last_name": "BOOTH",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "402-721-1610",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NE",
"license": "251001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fremont Health Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.