MATLOCK HOME CARE LLC (NPI# 1487293759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487293759 |
| Entity Type | Organization |
| Organization Name | MATLOCK HOME CARE LLC |
| Practice Address |
5510 Miller Ave Ralston NE 68127-3826 |
| Practice Telephone | 4023593595 |
| Mailing Telephone | 4023593595 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MANDI MATLOCK (OWNER) |
| Authorized Official Telephone | 4023593595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 120015510 | 05 |
| Street Address |
5510 MILLER AVE |
| City | RALSTON |
| State | NE |
| Zip Code | 68127-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891263604 | Lisa Ann Reyes | Massage Therapist | 7561 Main Street #402, Ralston, NE 68127 | 2018-11-09 |
| 1942709910 | Cardiac Cin of Omaha LLC | Internal Medicine | 4611 S 96th St Ste 254, Omaha, NE 68127 | 2018-02-06 |
| 1821510207 | Matthew Alan Olson | Pharmacist | 4828 South 91st Avenue Circle, Omaha, NE 68127 | 2017-07-07 |
| 1235663493 | Latifat Adekunle | Registered Nurse | 10011 J Street, Omaha, NE 68127 | 2017-04-14 |
| 1801341987 | Janelle Hill | Nurse Practitioner | 4610 S. 133rd Street Suite 109, Omaha, NE 68127 | 2016-08-18 |
| 1457713778 | Stephen Edward Wallace | Family Medicine | 6525 So. 100th Street, Omaha, NE 68127 | 2016-03-25 |
| 1669872537 | Christopher Charles Ihle | Counselor | 6550 S 84th St Ste 300, Omaha, NE 68127 | 2014-08-28 |
| 1831539048 | Airflow LLC | Durable Medical Equipment & Medical Supplies | 6221 S 90th St, Omaha, NE 68127 | 2013-07-02 |
| 1801130323 | Lilian Curtis | Social Worker | 4611 S 96th St Ste 225, Omaha, NE 68127 | 2012-11-21 |
| 1841546926 | Fidelity Home Health Care LLC | Home Health | 6650 S 84th Ave Ste 100a, Omaha, NE 68127 | 2012-07-26 |
| Find all providers in zip 68127 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451315 | Omaha Native LLC | In Home Supportive Care | 3610 N 163rd Plz # 101, Omaha, NE 68116-2164 | 2020-09-15 |
| 1306462833 | Derek Moore | In Home Supportive Care | 15024 Mormon St, Bennington, NE 68007-1246 | 2020-06-20 |
| 1710500525 | Gorman LLC | In Home Supportive Care | 1400 Dahlberg Dr Ste E, Lincoln, NE 68512-9217 | 2020-05-27 |
| 1477180503 | Ananda Lumpkin | In Home Supportive Care | 12958 Jessie Ave, Omaha, NE 68164-1373 | 2020-03-26 |
| 1285260794 | Home Care Partners of Nebraska, LLC | In Home Supportive Care | 285 S 68th Street Pl Ste 306, Lincoln, NE 68510-2584 | 2020-03-16 |
| 1447885231 | Swap Inc | In Home Supportive Care | 12432 S 36th St Apt C20, Bellevue, NE 68123-1270 | 2020-03-12 |
| 1710537204 | American Home Healthcare | In Home Supportive Care | 7407 Dodge St, Omaha, NE 68114-3615 | 2019-09-17 |
| 1548814569 | Three Cedars Inc. | In Home Supportive Care | 1007 N Jeffers St, North Platte, NE 69101-3028 | 2019-07-29 |
| 1922652924 | Personal Home Services, LLC | In Home Supportive Care | 11301 W Holdrege St, Lincoln, NE 68528-8860 | 2019-07-29 |
| 1851944508 | Lincoln Ne Homecare LLC | In Home Supportive Care | 3120 O St Ste A, Lincoln, NE 68510-1548 | 2019-07-22 |
| Find all providers with the same taxonomy | ||||
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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.