RAI CARE CENTERS OF NEBRASKA II, LLC (NPI# 1295829877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295829877 |
| Entity Type | Organization |
| Organization Name | RAI CARE CENTERS OF NEBRASKA II, LLC |
| Other Organization Name | RAI-CENTER STREET-OMAHA |
| Practice Address |
4411 Center Street Suite A Omaha NE 68105-2696 |
| Mailing Address |
1550 W. Mcewen Drive Suite 500 Franklin TN 37067-1731 |
| Practice Telephone | 4025583284 |
| Practice Fax Number | 4025523114 |
| Mailing Telephone | 6156611100 |
| Mailing Fax Number | 6155073300 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | MR. JON M SUNDOCK (VICE PRESIDENT) |
| Authorized Official Telephone | 6155073307 |
| Is Organization Subpart | Y |
| Parent Organization Name | RENAL ADVANTAGE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0715201 | 05 | |
| NE | JOHN DEERE | A6810501 | 01 |
| NE | BCBS | 60102 | 01 |
| NE | 10025309300 | 05 |
| Other Name | Type Code |
|---|---|
| RAI-Center Street-Omaha | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295829869 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 5084 Ames Ave., Omaha, NE 68104-2323 | 2006-10-03 |
| 1548354301 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 2660 North Healthy Way, Fremont, NE 68025-2318 | 2006-10-03 |
| Street Address |
4411 CENTER STREET SUITE A |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1598006611 | Rai Care Centers of Nebraska II LLC | Clinic/Center | 2916 S 84th St, Omaha, NE 68124-3213 | 2013-03-14 |
| 1013294156 | Renal Treatment Centers Illinois Inc | Clinic/Center | 7454 N 30th St, Omaha, NE 68112-2722 | 2011-11-03 |
| 1760766984 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6610 S 168th St, Ste 8, Omaha, NE 68135-5412 | 2011-10-06 |
| 1295829869 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 5084 Ames Ave., Omaha, NE 68104-2323 | 2006-10-03 |
| 1366475741 | Dialysis Clinic Inc. | Clinic/Center | 3316 Dodge St, Omaha, NE 68131-3403 | 2006-07-08 |
| 1609809086 | Dialysis Clinic Inc. | Clinic/Center | 3015 N 118th Cir, Omaha, NE 68164-3685 | 2006-07-08 |
| 1750343109 | Dva Renal Healthcare Inc | Clinic/Center | 3339 L St, Omaha, NE 68107-2500 | 2006-04-03 |
| 1891757233 | Dva Renal Healthcare Inc | Clinic/Center | 144 S 40th St, Omaha, NE 68131-3004 | 2006-04-03 |
| 1699737049 | Dva Renal Healthcare Inc | Clinic/Center | 6212 N 73rd Plz, Ste 100, Omaha, NE 68134-1801 | 2006-04-03 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.