REJUVENATING WOMEN (NPI# 1619534120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619534120 |
| Entity Type | Organization |
| Organization Name | REJUVENATING WOMEN |
| Practice Address |
3507 Harney St Omaha NE 68131-3915 |
| Mailing Address |
Po Box 207 Boys Town NE 68010-0207 |
| Practice Telephone | 4023454673 |
| Mailing Telephone | 4023454673 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | MRS. JULIE ANN SHRADER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4023454673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REJUVENATING WOMEN | 4372 S 152nd Cir, Omaha, NE 68137-5126 |
| Street Address |
3507 HARNEY ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912026261 | Camelot Care Centers | Community Based Residential Treatment Facility, Mental Illness | 11711 Arbor St Ste 110, Omaha, NE 68144-2975 | 2007-03-28 |
| 1366772378 | Telecare Region 6 Recovery Center | Community Based Residential Treatment Facility, Mental Illness | 819 Dorcas St, Omaha, NE 68108-1137 | 2010-01-14 |
| 1609095306 | Behaven Day Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8922 Cuming St, Omaha, NE 68114-2732 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396963930 | Life Quest Inc. | Community Based Residential Treatment Facility, Mental Illness | 201 Commercial, Palmer, NE 68864-0217 | 2007-04-20 |
| 1063578508 | Centerpointe, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2220 S 10th St, Lincoln, NE 68502-3445 | 2006-12-29 |
| 1700941879 | Centerpointe, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2633 P St, Lincoln, NE 68503-3528 | 2006-12-27 |
| 1063590982 | I Believe In Me Ranch, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2041 E 56th St, Kearney, NE 68847-4179 | 2006-11-01 |
| 1639615198 | The Link Dual Recovery Program | Community Based Residential Treatment Facility, Mental Illness | 305 N 9th St, Norfolk, NE 68701-3915 | 2017-01-09 |
| 1225407422 | Centerpointe, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2039 Q St, 2, Lincoln, NE 68503-3643 | 2015-09-17 |
| 1134421696 | The Communitysupports Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Thompson Creek Blvd, Suite 200, Lincoln, NE 68516-5662 | 2010-12-03 |
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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.