IndividualActive
Boston Kellogg
NPI 1295663722 · Home Health Agency · Omaha, NE
Provider details
- NPI number
- 1295663722
- Entity type
- Individual
- Primary specialty
- Home Health AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
- Respite Care385H00000X
Respite Care Facility
Practice location
4942 S 114th St
Omaha, NE 68137-2324
Phone: (402) 509-4480
Fax: (402) 982-4099
Approximate (ZIP-level) locationGet directions
Mailing address
4942 S 114th St
Omaha, NE 68137-2324
Registry dates
- Enumerated
- 2026-05-13
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.