LIFE COMMUNITY OUTREACH CENTER – NPI #1952163099
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

LIFE COMMUNITY OUTREACH CENTER is a PACE organization located in OMAHA, NE. NPPES recently assigned the NPI number 1952163099 to LIFE COMMUNITY OUTREACH CENTER on January 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 251T00000X from the Health Care Provider Taxonomy code set, which is classified as Program of All-Inclusive Care for the Elderly (PACE) Provider Organization.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFE COMMUNITY OUTREACH CENTER below.

NPI Profile for
LIFE COMMUNITY OUTREACH CENTER

NPI Number
1952163099
Created

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFE COMMUNITY OUTREACH CENTER
Primary location
3536 N 40TH AVE
OMAHA, NE 68111-2648
Phone: (531) 224-6446 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TYLENA TUCKER
FOUNDER
Phone: (531) 224-6446
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LIFE COMMUNITY OUTREACH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNPINE1801660931
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251T00000X
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.