SANTA MONICA NPI 1003010398

Community/Behavioral Health in Omaha, NE

About SANTA MONICA

Santa Monica is a provider in Omaha, NE. The NPI number assigned to this provider is 1003010398. The practitioner's primary taxonomy code is Community/Behavioral Health (251S00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003010398 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSANTA MONICA
Provider Location Address130 N 39TH ST OMAHA, NE 68131 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address130 N 39TH ST OMAHA, NE 68131 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date06-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-14-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SANTA MONICA
130 N 39TH ST
OMAHA, NE
ZIP 68131
Phone: (402) 558-7088
Fax: (402) 558-7133
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Mailing Address

SANTA MONICA
130 N 39TH ST
OMAHA, NE
ZIP 68131
Phone: (402) 558-7088
Fax: (402) 558-7133

Primary Taxonomy

Taxonomy Code251S00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.SATC052
License StateNE
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

Authorized Official NameMS. MARY KAY DAVIS NSAP,LADC Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(402) 558-7088

Map Location


SANTA MONICA address is 130 N 39TH ST OMAHA, NE 68131

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801223110 KENNY WADE RICHARDSON LADC
Individual
Counselor (Addiction (Substance Use Disorder))130 N 39TH ST
OMAHA, NE 68131
(402) 558-7088