ANGELO D MELGOZA PLADC
NPI 1386941185
Substance Abuse Rehabilitation Facility in Omaha, NE

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since February 15, 2011

3483 LARIMORE AVE, OMAHA, NE 68111(402) 455-8303(402) 455-7050 Get Directions Write a Review

NPPES record last updated: February 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Angelo D Melgoza Pladc NPPES

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

ANGELO D MELGOZA PLADC (NPI 1386941185) is an individual substance abuse rehabilitation facility provider in Omaha, Nebraska, licensed in Nebraska (P-575) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1386941185

Entity TypeIndividualMale

Primary Taxonomy324500000X

Provider Legal NameANGELO D MELGOZACredential: PLADC

Location Address3483 LARIMORE AVEOmaha, NE 68111-2383

Mailing Address3483 Larimore AveOmaha, NE 68111-2383 · (402) 455-8303 · Fax (402) 455-7050

Phone(402) 455-8303

Fax(402) 455-7050

Sole ProprietorYes

Enumeration DateFebruary 15, 2011

✔ NPI 1386941185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in NE · P-575

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

3483 LARIMORE AVE, Omaha, NE 68111

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