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ST CROIX NEBRASKA SIP LLC
NPI 1881284602
Internal Medicine - Hospice and Palliative Medicine in Omaha, NE

Active since January 25, 2021
1065 N 115TH ST STE 120, OMAHA, NE 68154(402) 609-4818 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Croix Nebraska Sip Llc NPPES

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

ST CROIX NEBRASKA SIP LLC (NPI 1881284602) is a healthcare organization registered as a hospice and palliative medicine in Omaha, Nebraska and active in the NPI registry since January 2021. The organization lists Kimberly A Olson, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1881284602
Entity TypeOrganization
Primary Taxonomy207RH0002X
Legal Business NameST CROIX NEBRASKA SIP LLC
Location Address1065 N 115TH ST STE 120Omaha, NE 68154-4423
Mailing Address1065 N 115th St Ste 120Omaha, NE 68154-4423 · (402) 609-4818
Phone(402) 609-4818
Organization SubpartNo
Authorized OfficialKimberly A OlsonChief Compliance Officer · (651) 237-9716
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1881284602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1065 N 115TH ST STE 120, Omaha, NE 68154
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

CLAYTON JEPSEN HOBERMAN DO
Physical Medicine & Rehabilitation (Hospice and Palliative Medicine)
1065 N 115TH ST STE 120
OMAHA, NE 68154
Douglas County (402) 609-4818
JEAN MEISTER APRN
Nurse Practitioner (Gerontology)
1065 N 115TH ST STE 120
OMAHA, NE 68154
Douglas County (402) 609-4818
ANDREW G MAYO M.D.
Family Medicine
1065 N 115TH ST STE 120
OMAHA, NE 68154
Douglas County (402) 609-4818

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 St Croix Nebraska Sip LLC's NPI number?

The NPI number for St Croix Nebraska Sip LLC is 1881284602. It was assigned to this organization in the NPPES registry on January 25, 2021.

Where is St Croix Nebraska Sip LLC located?

St Croix Nebraska Sip LLC is located at 1065 N 115th St Ste 120, Omaha, NE 68154. The listed phone number is (402) 609-4818.

What is St Croix Nebraska Sip LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

When was this NPI record last updated?

The NPPES record for St Croix Nebraska Sip LLC was last updated on January 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.