CANOPY SUPPORTIVE SERVICES
NPI 1881495463
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since March 20, 2025
955 N 28TH AVE, OMAHA, NE 68131(402) 570-4673(402) 884-9018 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canopy Supportive Services NPPES

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

CANOPY SUPPORTIVE SERVICES (NPI 1881495463) 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 March 2025. The organization lists Erica Renae Nicholson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881495463
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCANOPY SUPPORTIVE SERVICES
Location Address955 N 28TH AVEOmaha, NE 68131-1503
Mailing Address955 N 28th AveOmaha, NE 68131-1503 · (402) 570-4673 · Fax (402) 884-9018
Fax(402) 884-9018
Organization SubpartNo
Authorized OfficialErica Renae NicholsonCeo · (402) 570-4673
Enumeration DateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
NPI 1881495463 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.
955 N 28TH AVE, Omaha, NE 68131

Other Providers at the Same Location NPPES 2

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

Adult Companion
955 N 28TH AVE
OMAHA, NE 68131
Adult Companion
955 N 28TH AVE
OMAHA, NE 68131

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 Canopy Supportive Services's NPI number?

The NPI number for Canopy Supportive Services is 1881495463. It was assigned to this organization in the NPPES registry on March 20, 2025.

Where is Canopy Supportive Services located?

Canopy Supportive Services is located at 955 N 28th Ave, Omaha, NE 68131. The listed phone number is (402) 570-4673.

What is Canopy Supportive Services'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 Canopy Supportive Services was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.