| Homaha Senior Care Llc | |
|
4908 Cass St Omaha NE 68132-2913 | |
| (402) 249-6136 | |
| (402) 835-5212 |
| Full Name | Homaha Senior Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4908 Cass St, Omaha, Nebraska |
| Authorized Official Name and Position | Rebecca Mary Wester (OWNER) |
| Authorized Official Contact | 4022496136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homaha Senior Care Llc 4908 Cass St Omaha NE 68132-2913 Ph: (402) 249-6136 | Homaha Senior Care Llc 4908 Cass St Omaha NE 68132-2913 Ph: (402) 249-6136 |
| NPI Number | 1033616081 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 07/23/2024 |
| Medicare PECOS PAC ID | 0244593747 |
|---|---|
| Medicare Enrollment ID | O20180416001937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033616081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Rebecca M Wester |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790767713 PECOS PAC ID: 2567432024 Enrollment ID: I20070529000180 |
| Provider Name | Brenda K Keller |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962451260 PECOS PAC ID: 8022150531 Enrollment ID: I20100121000673 |
| Provider Name | Brenda F Vander Tuig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366728198 PECOS PAC ID: 7012180912 Enrollment ID: I20111108000870 |
| Provider Name | Nicole Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619309713 PECOS PAC ID: 5092945733 Enrollment ID: I20140226000149 |
| Provider Name | Melissa R Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124454475 PECOS PAC ID: 9739464538 Enrollment ID: I20170317000580 |
| Provider Name | Bradley D Kutschkau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699253831 PECOS PAC ID: 2264781087 Enrollment ID: I20180827003289 |
| Provider Name | Renee A Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770130734 PECOS PAC ID: 8628307337 Enrollment ID: I20190905001890 |
| Provider Name | Amanda M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346813441 PECOS PAC ID: 0143627109 Enrollment ID: I20210920000190 |
| Provider Name | Rebecca M Hynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245980762 PECOS PAC ID: 6204213366 Enrollment ID: I20220512000090 |
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