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POSITIVE DEVELOPMENTAL SUPPORTS LLC
NPI 1114730165
Clinic/Center - Developmental Disabilities in Omaha, NE

Active since January 31, 2025
4505 S 96TH ST, OMAHA, NE 68127(310) 614-4482 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Positive Developmental Supports Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POSITIVE DEVELOPMENTAL SUPPORTS LLC (NPI 1114730165) is a healthcare organization registered as a developmental disabilities in Omaha, Nebraska and active in the NPI registry since January 2025. The organization lists Shiina Hirose, Director, as its authorized official.

NPPES Registry Identity

NPI1114730165
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NamePOSITIVE DEVELOPMENTAL SUPPORTS LLC
Location Address4505 S 96TH STOmaha, NE 68127-1212
Mailing Address18121 Van Camp DrOmaha, NE 68130-4241 · (310) 614-4482
Phone(310) 614-4482
Organization SubpartNo
Authorized OfficialShiina HiroseDirector · (310) 614-4482
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1114730165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
4505 S 96TH ST, Omaha, NE 68127
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Positive Developmental Supports LLC's NPI number?

The NPI number for Positive Developmental Supports LLC is 1114730165. It was assigned to this organization in the NPPES registry on January 31, 2025.

Where is Positive Developmental Supports LLC located?

Positive Developmental Supports LLC is located at 4505 S 96th St, Omaha, NE 68127. The listed phone number is (310) 614-4482.

What is Positive Developmental Supports LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Positive Developmental Supports LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.