BONSAI HEALTH
NPI 1902634181
Clinic/Center - Methadone in Omaha, NE

Active since July 22, 2024CLIA 28D2311567 · Waiver
4224 S 50TH ST, OMAHA, NE 68117(402) 769-8988 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Sep 26, 2024, Jul 22, 2024 (3 updates tracked since 2024).

About Bonsai Health NPPES

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

BONSAI HEALTH (NPI 1902634181) is a healthcare organization registered as a methadone in Omaha, Nebraska and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Nicholas Milewski, Manager, as its authorized official.

NPPES Registry Identity

NPI1902634181
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameBONSAI HEALTHCARE LLC
Location Address4224 S 50TH STOmaha, NE 68117-1332
Mailing Address4224 S 50th StOmaha, NE 68117-1332
Organization SubpartNo
Authorized OfficialNicholas MilewskiManager · (402) 769-8988
Enumeration DateJuly 22, 2024
Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1902634181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4224 S 50TH ST, Omaha, NE 68117

Other Names 1

Doing Business AsBonsai Health

Accepted Insurance

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 28D2311567

Bonsai Health · Omaha, NE
Active · expires Sep 23, 2026
CLIA Number28D2311567
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorLouis J. Stites
Laboratory Phone(402) 769-8988
Laboratory LocationBonsai Health4224 S 50th St, Omaha, NE 68117
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 4

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

Pediatrics
4224 S 50TH ST
OMAHA, NE 68117
Pediatrics
4224 S 50TH ST
OMAHA, NE 68117
Counselor (Addiction (Substance Use Disorder))
4224 S 50TH ST
OMAHA, NE 68117
Pediatrics
4224 S 50TH ST
OMAHA, NE 68117

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 Bonsai Healthcare LLC's NPI number?

The NPI number for Bonsai Healthcare LLC is 1902634181. It was assigned to this organization in the NPPES registry on July 22, 2024. The provider is doing business as Bonsai Health.

Where is Bonsai Healthcare LLC located?

Bonsai Healthcare LLC is located at 4224 S 50th St, Omaha, NE 68117. The listed phone number is (402) 769-8988.

What is Bonsai Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Bonsai Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2311567) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bonsai Healthcare LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Bonsai Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonsai Healthcare LLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.