Life Community Outreach Center

LBN: Life Community Outreach Center
Life Community Outreach Center is an health care organization with primary practice located at 3536 N 40Th Ave , Omaha NE 68111-2648. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Life Community Outreach Center can be contacted via phone (531) 224-6446, or through Tucker, Tylena via phone (531) 224-6446.

Contact Information

Primary practice address
3536 N 40Th Ave Omaha NE 68111-2648
Phone: (531) 224-6446
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Tylena
Phone: (531) 224-6446

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1952163099
LBN Legal business name Life Community Outreach Center
DBA Doing business as
Authorized official Tucker, Tylena
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2024
Last updated Jan 24th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952163099 NPPES
Nebraska Other 1801660931 NPI

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