OrganizationActive
Grandgen, LLC
NPI 1326351651 · Specialist · Omaha, NE
Grandgen, LLC is a Specialist organization in Omaha, NE (NPI 1326351651).
Provider details
- NPI number
- 1326351651
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jon Fulcher, President(402) 445-6173
- License
- 23224 (IA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9802 Nicholas St
Suite 305
Omaha, NE 68114-2167
Phone: (402) 397-2300
Fax: (402) 397-2303
Street-level locationGet directions
Mailing address
9802 Nicholas St
Omaha, NE 68114-2167
Other names (DBA / former)
- Doing business as
- Devenu Medical Rejuvenation Center
Registry dates
- Enumerated
- 2010-07-15
- Last updated
- 2010-07-15
Frequently asked questions
- What is Grandgen, LLC's NPI number?
- Grandgen, LLC's National Provider Identifier (NPI) is 1326351651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grandgen, LLC?
- Grandgen, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Grandgen, LLC located?
- Grandgen, LLC's practice location on file with NPPES is 9802 Nicholas St, Omaha, NE 68114-2167.
- What is Grandgen, LLC's phone number?
- The practice phone number listed in the NPPES registry for Grandgen, LLC is (402) 397-2300.
- Who is the authorized official for Grandgen, LLC?
- The authorized official listed on Grandgen, LLC's NPPES record is Jon Fulcher, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grandgen, LLC's NPI active?
- Yes — Grandgen, LLC's NPI (1326351651) is active in the NPPES registry as of the last update on 2010-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.