INDICARE HOME HEALTH LLC NPI 1891394813
Home Health in Bellevue, NE

  • Organization
  • Home Health
  • CLIA Number 28D2226041
  • CLIA Certificate of Waiver

About INDICARE HOME HEALTH LLC

NPI1891394813
Provider NameINDICARE HOME HEALTH LLC
Location Address1406 FORT CROOK RD S STE 410 BELLEVUE, NE 68005
Location Phone(402) 968-1600
Mailing Address1406 FORT CROOK RD S STE 410 BELLEVUE, NE 68005
Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-21-2020
Last Update Date10-29-2020
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Indicare Home Health Llc is a provider established in Bellevue, Nebraska operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1891394813 assigned on October 2020. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Isheea Bultez (Owner/administrator)



The CLIA number of Indicare Home Health Llc is 28D2226041 registered as a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Indicare Home Health Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Business Address

1406 FORT CROOK RD S STE 410
BELLEVUE, NE
ZIP 68005
Phone: (402) 968-1600

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Mailing Address

1406 FORT CROOK RD S STE 410
BELLEVUE, NE
ZIP 68005
Phone: (402) 968-1600

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code251E00000X
TypeAgencies
Taxonomy DescriptionA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name ISHEEA BULTEZ
Authorized Official TitleOWNER/ADMINISTRATOR
Authorized Official Phone(402) 968-1600

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number28D2226041
Facility TypeHOME HEALTH AGENCY
Certificate TypeCertificate of Waiver

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891394813
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2818169882
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 6 + 9 + 8 + 8 + 2 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1891394813 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is INDICARE HOME HEALTH LLC NPI number?

The NPI number assigned to this healthcare provider is 1891394813, enumerated in the NPI registry as an "organization" on October 21, 2020

Where is the provider located?

The provider is located at 1406 Fort Crook Rd S Ste 410 Bellevue, Ne 68005 and the phone number is (402) 968-1600

What is the provider specialty code?

This medical organization specializes in Home Health with taxonomy code 251E00000X

What is INDICARE HOME HEALTH LLC CLIA number?

The provider's CLIA number is 28D2226041 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

This NPI record was last updated on October 21, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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