PROVIDER LLC
NPI 1407745243
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE
About Provider Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDER LLC (NPI 1407745243) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Omaha, Nebraska and active in the NPI registry since June 2025. The organization lists Delanam Gbegnon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Provider LLC's NPI number?
The NPI number for Provider LLC is 1407745243. It was assigned to this organization in the NPPES registry on June 28, 2025.
Where is Provider LLC located?
Provider LLC is located at 13516 Discovery Dr, Omaha, NE 68137. The listed phone number is (502) 618-9786.
What is Provider LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Provider LLC was last updated on June 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
