Organization Active NPI

Five Star Home Care of Nebraska LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1992421820
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FIVE STAR HOME CARE OF NEBRASKA LLC
Practice address
5072 S 135TH St
Omaha, NE 68137-1639
Phone
(402) 281-6555
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Jamal Hannon
Title
Owner/President
Phone
(402) 281-6555

Specialties & licenses 1

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

Addresses

Primary practice location

5072 S 135TH St
Omaha, NE 68137-1639

Mailing address

5072 S 135TH St
Omaha, NE 68137-1639
Phone (402) 281-6555

National Provider Directory

National Provider Directory

Locations

5072 S 135th St
Omaha, NE 68137
Phone (402) 616-9876

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1992421820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 S 135TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371639",
            "telephone_number": "402-281-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 S 135TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371639",
            "telephone_number": "402-281-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR HOME CARE OF NEBRASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-281-6555"
    },
    "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 Jan 27, 2023; 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.