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CHARTER HOSPICE OF OMAHA, LLC
NPI 1477808889
Hospice Care, Community Based in Omaha, NE

Active since July 23, 2012
4905 S 107TH AVE, SUITE 205, OMAHA, NE 68127(402) 926-4088(402) 926-4197 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charter Hospice Of Omaha, Llc NPPES

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

CHARTER HOSPICE OF OMAHA, LLC (NPI 1477808889) is a healthcare organization registered as a hospice care, community based in Omaha, Nebraska and active in the NPI registry since July 2012. The organization lists Sylvie Boal, Corporate Counsel, as its authorized official.

NPPES Registry Identity

NPI1477808889
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCHARTER HOSPICE OF OMAHA, LLC
Location Address4905 S 107TH AVE, SUITE 205Omaha, NE 68127-1965
Mailing Address4905 S 107th Ave, Suite 205Omaha, NE 68127-1965 · (402) 926-4088 · Fax (402) 926-4197
Phone(402) 926-4088
Fax(402) 926-4197
Organization SubpartNo
Authorized OfficialSylvie BoalCorporate Counsel · (909) 644-4965
Enumeration DateJuly 23, 2012
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1477808889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in NE · HOSPICE 50
4905 S 107TH AVE, Omaha, NE 68127
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

MRS. ROSEMARIE NOLAN TOMKA MS/CCC-SLP
Speech-Language Pathologist
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 926-4088
MRS. JANICE LYNN KOORY OTR/L
Occupational Therapist
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 926-4088
AMBER CECIL
Registered Nurse (Hospice)
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 597-2585
ROCHELLE GRADY RN
Registered Nurse (Hospice)
4905 S 107TH AVE, STE 205
OMAHA, NE 68127
Douglas County (402) 597-2585
DEBORAH SCHUTZ RN
Registered Nurse (Hospice)
4905 S 107TH AVE, STE 205
OMAHA, NE 68127
Douglas County (402) 597-2585
DOMERLIN SODUSTA
Durable Medical Equipment & Medical Supplies
4905 S 107TH AVE, SUITE 206
OMAHA, NE 68127
Douglas County (402) 968-1643
KEEN MINDS LLC
Nurse Practitioner (Psychiatric/Mental Health)
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 819-1823
EMILY JORDAN BLANCHARD DNP-WHNP, MPH
Nurse Practitioner (Women's Health)
4905 S 107TH AVE
OMAHA, NE 68127
Douglas County (402) 243-1526

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 Charter Hospice Of Omaha, LLC's NPI number?

The NPI number for Charter Hospice Of Omaha, LLC is 1477808889. It was assigned to this organization in the NPPES registry on July 23, 2012.

Where is Charter Hospice Of Omaha, LLC located?

Charter Hospice Of Omaha, LLC is located at 4905 S 107th Ave Suite 205, Omaha, NE 68127. The listed phone number is (402) 926-4088.

What is Charter Hospice Of Omaha, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for Charter Hospice Of Omaha, LLC was last updated on August 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.