Provider LLC
NPI 1407745243 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE
Provider LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Omaha, NE (NPI 1407745243).
Provider details
- NPI number
- 1407745243
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Delanam Gbegnon, Owner(502) 618-9786
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-06-28
- Last updated
- 2025-06-28
- Certified
- 2025-06-27
Frequently asked questions
- What is Provider LLC's NPI number?
- Provider LLC's National Provider Identifier (NPI) is 1407745243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provider LLC?
- Provider LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Provider LLC located?
- Provider LLC's practice location on file with NPPES is 13516 Discovery Dr, Omaha, NE 68137.
- What is Provider LLC's phone number?
- The practice phone number listed in the NPPES registry for Provider LLC is (502) 618-9786.
- Who is the authorized official for Provider LLC?
- The authorized official listed on Provider LLC's NPPES record is Delanam Gbegnon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provider LLC's NPI active?
- Yes — Provider LLC's NPI (1407745243) is active in the NPPES registry as of the last update on 2025-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.