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FULTON HOMES ASSISTED LIVING
NPI 1881487072
Assisted Living Facility in Omaha, NE

Active since May 28, 2025
13750 MILLARD AVE, OMAHA, NE 68137(402) 502-0502 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Fulton Homes Assisted Living NPPES

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

FULTON HOMES ASSISTED LIVING (NPI 1881487072) is a healthcare organization registered as an assisted living facility in Omaha, Nebraska and active in the NPI registry since May 2025. The organization lists Demeria Bruce, Owner, as its authorized official.

NPPES Registry Identity

NPI1881487072
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFULTON HOMES ASSISTED LIVING
Location Address13750 MILLARD AVEOmaha, NE 68137-2712
Mailing Address13750 Millard AveOmaha, NE 68137-2712 · (402) 502-0502
Phone(402) 502-0502
Organization SubpartNo
Authorized OfficialDemeria BruceOwner · (402) 502-0502
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1881487072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
13750 MILLARD AVE, Omaha, NE 68137
Open in Google Maps ↗

Other Names 1

Other NameFulton Homes

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2308782

Fulton Homes Labs · Omaha, NE
Expired · Aug 1, 2026
CLIA Number28D2308782
Laboratory TypeIndependent
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorDemeria M. Bruce
Laboratory Phone(402) 502-0502
Laboratory LocationFulton Homes Labs13750 Millard Ave Suite 150, Omaha, NE 68137
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DENA WEST
Home Health Aide
13750 MILLARD AVE
OMAHA, NE 68137
Douglas County (402) 403-1222
JESSE HARRIS
Home Health Aide
13750 MILLARD AVE
OMAHA, NE 68137
Douglas County (402) 403-1222
SHANNON HALL
Home Health Aide
13750 MILLARD AVE
OMAHA, NE 68137
Douglas County (402) 403-1222
ALICE ESCAMILLA
Home Health Aide
13750 MILLARD AVE
OMAHA, NE 68137
Douglas County (402) 403-1222
JASMINE HERNANDEZ
Home Health Aide
13750 MILLARD AVE
OMAHA, NE 68137
Douglas County (402) 403-1222
KHALEAHA TITSWORTH
Home Health Aide
13750 MILLARD AVE
OMAHA, NE 68137
Douglas County (402) 403-1222
CORRINA CHRIST
Home Health Aide
13750 MILLARD AVE
OMAHA, NE 68137
Douglas County (402) 403-1222
HEATHER M ALEXANDER
Home Health Aide
13750 MILLARD AVE
OMAHA, NE 68137
Douglas County (402) 403-1222

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 Fulton Homes Assisted Living's NPI number?

The NPI number for Fulton Homes Assisted Living is 1881487072. It was assigned to this organization in the NPPES registry on May 28, 2025. The provider is also known as Fulton Homes.

Where is Fulton Homes Assisted Living located?

Fulton Homes Assisted Living is located at 13750 Millard Ave, Omaha, NE 68137. The listed phone number is (402) 502-0502.

What is Fulton Homes Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Fulton Homes Assisted Living was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.