OrganizationActive
Positive Developmental Supports LLC
NPI 1114730165 · Developmental Disabilities Clinic/Center · Omaha, NE
Provider details
- NPI number
- 1114730165
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shiina Hirose, Director(310) 614-4482
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4505 S 96th St
Omaha, NE 68127-1212
Phone: (310) 614-4482
Approximate (ZIP-level) locationGet directions
Mailing address
18121 Van Camp Dr
Omaha, NE 68130-4241
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.