United Nebraska Home Care Revival LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UNITED NEBRASKA HOME CARE REVIVAL LLC

Practice address

6305 Ames Ave
Omaha, NE 68104-2027

Phone

(888) 226-0111

NPI assigned

Mar 11, 2025

Organization subpart

No

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

Authorized official

Name

Kenda PraseuthNPI 1811796865

Title

Office Manager

Phone

(402) 518-0622

Specialties & licenses 1

Addresses

Practitioners 2

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

• Kenda Lyn Praseuth

  • Home Health Aide
  • Omaha, NE
  • NPI 1811796865
  NPD Authorized official
• Diane Jonelle Praseuth Goss

  • Home Health Aide
  • Omaha, NE
  • NPI 1275333262
  NPD

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1972302917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042027",
            "telephone_number": "888-226-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED NEBRASKA HOME CARE REVIVAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "PRASEUTH",
        "authorized_official_first_name": "KENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-518-0622"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• Home Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.