Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canopy Supportive Services

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1881495463

Canopy Supportive Services is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Omaha, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

955 N 28th Ave
Omaha, NE 68131-1503
Phone: (402) 570-4673
Fax: (402) 884-9018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1881495463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erica Nicholson — Ceo · (402) 570-4673
NPI enumeratedMarch 20, 2025
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address955 N 28th Ave, Omaha, NE 68131-1503

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