CHARTER HOSPICE OF OMAHA, LLC
NPI 1477808889
Hospice Care, Community Based in Omaha, NE

NPI Status: Active since July 23, 2012

Contact Information

4905 S 107TH AVE
SUITE 205
OMAHA, NE
ZIP 68127
Phone: (402) 926-4088
Fax: (402) 926-4197

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  • Organization
  • Hospice Care, Community Based

About CHARTER HOSPICE OF OMAHA, LLC

This page provides the complete NPI Profile along with additional information for Charter Hospice Of Omaha, Llc, a provider established in Omaha, Nebraska operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1477808889 assigned on July 2012. The practitioner's primary taxonomy code is 251G00000X with license number HOSPICE 50 (NE). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Sylvie Boal (Corporate Counsel)

NPI
1477808889
Provider Name
CHARTER HOSPICE OF OMAHA, LLC
Entity Type
Organization
Location Address
4905 S 107TH AVE SUITE 205 OMAHA, NE 68127
Location Phone
(402) 926-4088
Location Fax
(402) 926-4197
Mailing Address
4905 S 107TH AVE SUITE 205 OMAHA, NE 68127
Mailing Phone
(402) 926-4088
Mailing Fax
(402) 926-4197
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2012
Last Update Date
08-30-2021
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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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
HOSPICE 50
License State
NE

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

SYLVIE BOAL

Authorized Official Title
CORPORATE COUNSEL
Authorized Official Phone
(909) 644-4965

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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.
1477808889
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2414716016816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 6 + 0 + 1 + 6 + 8 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1477808889 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720212939MRS. ROSEMARIE NOLAN TOMKA MS/CCC-SLP
Individual
Speech-Language Pathologist4905 S 107TH AVE
OMAHA, NE 68127
(402) 926-4088
1326272527MRS. JANICE LYNN KOORY OTR/L
Individual
Occupational Therapist4905 S 107TH AVE
OMAHA, NE 68127
(402) 926-4088
1356744098 AMBER CECIL
Individual
Registered Nurse (Hospice)4905 S 107TH AVE
OMAHA, NE 68127
(402) 597-2585
1538563853 ROCHELLE GRADY RN
Individual
Registered Nurse (Hospice)4905 S 107TH AVE STE 205
OMAHA, NE 68127
(402) 597-2585
1386048601 DEBORAH SCHUTZ RN
Individual
Registered Nurse (Hospice)4905 S 107TH AVE STE 205
OMAHA, NE 68127
(402) 597-2585
1679978084 DOMERLIN SODUSTA
Individual
Durable Medical Equipment & Medical Supplies4905 S 107TH AVE SUITE 206
OMAHA, NE 68127
(402) 968-1643
1568048726KEEN MINDS LLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)4905 S 107TH AVE
OMAHA, NE 68127
(402) 819-1823
1659058360 EMILY JORDAN BLANCHARD DNP-WHNP, MPH
Individual
Nurse Practitioner (Women's Health)4905 S 107TH AVE
OMAHA, NE 68127
(402) 243-1526
1265422562 LESLIE IRENE DVORAK APRN
Individual
Nurse Practitioner (Women's Health)4905 S 107TH AVE
OMAHA, NE 68127
(402) 243-1526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477808889, enumerated in the NPI registry as an "organization" on July 23, 2012

The provider is located at 4905 S 107th Ave Suite 205 Omaha, Ne 68127 and the phone number is (402) 926-4088

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

This NPI record was last updated on July 23, 2012. 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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