BOL JOCK
NPI 1518756113
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since May 01, 2025
3826 N 23RD ST, OMAHA, NE 68110(402) 516-4326 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bol Jock NPPES

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

BOL JOCK (NPI 1518756113) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Omaha, Nebraska and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1518756113
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameBOL JOCK
Location Address3826 N 23RD STOmaha, NE 68110-1726
Mailing Address1805 N 73rd StOmaha, NE 68114-1905 · (402) 557-8583
Sole ProprietorYes
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1518756113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3826 N 23RD ST, Omaha, NE 68110

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 Bol Jock's NPI number?

The NPI number for Bol Jock is 1518756113. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Bol Jock located?

Bol Jock practices at 3826 N 23rd St, Omaha, NE 68110. The listed phone number is (402) 516-4326.

What is Bol Jock'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 Bol Jock was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.