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

Provider LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1407745243

Provider LLC 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
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13516 Discovery Dr
Omaha, NE 68137
Phone: (502) 618-9786
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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 number1407745243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Delanam Gbegnon — Owner · (502) 618-9786
NPI enumeratedJune 28, 2025
Last updated in NPPESJune 28, 2025
Certification dateJune 27, 2025
Mailing address13516 Discovery Dr, Omaha, NE 68137

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