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Lawanda Rochelle Moore
Home Health Agency in Omaha, Nebraska
NPI 1598250201

Lawanda Rochelle Moore is a Home Health Agency based in Omaha, NE. Lawanda Rochelle Moore practices in Omaha, NE. The NPI Number for Lawanda Rochelle Moore is 1598250201 and holds a License No. HHA202002 (Nebraska).

The current practice location address for Lawanda Rochelle Moore is 5421 N 103Rd St Ste 401, Omaha, NE and can be reached out via phone at 402-393-2525 and via fax at 402-393-2441. You can also correspond with Lawanda Rochelle Moore through the mailing address at 5421 N 103RD ST STE 401, OMAHA, NE - 68134-1010 (mailing address contact number: 402-393-2525).

Location: 5421 N 103Rd St Ste 401, Omaha, NE, 68134-1010
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Provider Profile Details
NPI Number
1598250201
Provider Name
Lawanda Rochelle Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
5421 N 103Rd St Ste 401, Omaha, NE, 68134-1010
Phone Number
402-393-2525
Fax Number
402-393-2441
Provider Enumeration Date
06/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598250201 05 NE
institution
Provider Business Practice Location Address Details
Address
5421 N 103Rd St Ste 401
City
State
Zip
68134-1010
Phone Number
402-393-2525
Fax Number
402-393-2441
person
Provider Business Mailing Address Details
Address
5421 N 103Rd St Ste 401
City
State
Zip
68134-1010
Phone Number
402-393-2525
Fax Number
402-393-2441
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
HHA202002 (Nebraska)
Definition
A 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.
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Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
HHA202002 (Nebraska)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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