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CHI HEALTH LAKESIDE
NPI 1164553954
Durable Medical Equipment & Medical Supplies in Omaha, NE

Active since March 07, 2007CLIA Certified · 2 labs
17201 WRIGHT ST, SUITE 202, OMAHA, NE 68130(402) 717-4700 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2022, Jun 17, 2016 (2 updates tracked since 2016).

About Chi Health Lakeside NPPES

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

CHI HEALTH LAKESIDE (NPI 1164553954) is a healthcare organization registered as a durable medical equipment & medical supplies in Omaha, Nebraska and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Evert Kuiper, Ceo - Chi Health, as its authorized official.

NPPES Registry Identity

NPI1164553954
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameALEGENT CREIGHTON HEALTH
Location Address17201 WRIGHT ST, SUITE 202Omaha, NE 68130-2042
Mailing Address17201 Wright St, Suite 202Omaha, NE 68130-2042
Phone(402) 717-4700
Organization SubpartNo
Authorized OfficialEvert KuiperCeo - Chi Health · (402) 343-4420
Enumeration DateMarch 7, 2007
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1164553954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

17201 WRIGHT ST, Omaha, NE 68130
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Other Names 1

Doing Business AsChi Health Lakeside

Other Identifiers 1

Other20611NE · Dhhs Cosmetology Salon License

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D0914215

Chi Health Lakeside Patient Service Center · Omaha, NE
Active · expires Feb 28, 2027
CLIA Number28D0914215
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDr. Catherine T. Stoos
Laboratory Phone(402) 758-5160
Laboratory LocationChi Health Lakeside Patient Service Center16909 Lakeside Hills Court, Suite 108, Omaha, NE 68130
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 28D1024347

Chi Health Lakeside Laboratory · Omaha, NE
Active · expires Feb 28, 2027
CLIA Number28D1024347
Laboratory TypeHospital
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDr. David E. Cantu
Laboratory Phone(402) 717-8170
Laboratory LocationChi Health Lakeside Laboratory16901 Lakeside Hills Ct, Omaha, NE 68130
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARRON FORSBERG APRN
Nurse Practitioner
17201 WRIGHT ST, SUITE 200
OMAHA, NE 68130
Douglas County (402) 334-4773
KIMBERLY A CAPRON APRN
Nurse Practitioner
17201 WRIGHT ST, SUITE 200
OMAHA, NE 68130
Douglas County (402) 334-4773
LAUREN HIATT ROBINS OTD
Occupational Therapist
17201 WRIGHT ST, SUITE 200
OMAHA, NE 68130
Douglas County (402) 334-4773
MS. JAYNE LYNN GUNDRUM LMHP
Counselor (Mental Health)
17201 WRIGHT ST
OMAHA, NE 68130
Douglas County (402) 691-6977

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 Alegent Creighton Health's NPI number?

The NPI number for Alegent Creighton Health is 1164553954. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Chi Health Lakeside.

Where is Alegent Creighton Health located?

Alegent Creighton Health is located at 17201 Wright St Suite 202, Omaha, NE 68130. The listed phone number is (402) 717-4700.

What is Alegent Creighton Health's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Alegent Creighton Health hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Alegent Creighton Health was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.