CCN: 287143 NPI: 1265923502 Organization

MIDLAND MODESTY HOME HEALTHCARE, LLC

11414 W CENTER RD STE 340
OMAHA, NE 681444425

Contact Information

Phone 4029323643
Enumeration Date 2018-05-22
Last Updated 2018-05-22

Taxonomies

Code: 251E00000X (Primary) License State: NE License: HHA201801

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 36540

providerType 36

specialPaymentIndicator

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 36540

providerType 36

specialPaymentIndicator

carrierCode 05402

localityCode 00

cbsaActualGeographicLocation 36540

providerType 36

specialPaymentIndicator

carrierCode 05402

localityCode 00