IndividualActive
Robert Grover
NPI 1275476897 · Intellectual Disabilities Intermediate Care Facility · Omaha, NE
Provider details
- NPI number
- 1275476897
- Entity type
- Individual
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4980 S 118th St
Omaha, NE 68137-2200
Phone: (531) 710-0104
Approximate (ZIP-level) locationGet directions
Mailing address
2814 N 169th St
Omaha, NE 68116-2689
Registry dates
- Enumerated
- 2026-04-09
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.