Provider Demographics
NPI:1548842107
Name:COMFORT KEEPERS-OMAHA, LLC
Entity type:Organization
Organization Name:COMFORT KEEPERS-OMAHA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-991-9880
Mailing Address - Street 1:8710 F ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1527
Mailing Address - Country:US
Mailing Address - Phone:402-991-9880
Mailing Address - Fax:
Practice Address - Street 1:4060 VINTON ST STE 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-3863
Practice Address - Country:US
Practice Address - Phone:402-991-9880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUNTING ISLE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-23
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE92162617Medicaid