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Provider LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Omaha, NE · enumerated 2025 · authorized official Delanam Gbegnon, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407745243

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Registry record

Entity type Organization (Type 2)
Legal business name Provider LLC
Practice address 13516 Discovery Dr, Omaha, NE, 68137
Phone (502) 618-9786
Enumeration date Jun 28, 2025
Last updated in NPPES Jun 28, 2025

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Delanam Gbegnon
Title Owner
Phone (502) 618-9786

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Provider LLC?
NPPES lists Delanam Gbegnon (Owner) as the authorized official for this organization.
What is the NPI number for Provider LLC?
The NPI for Provider LLC is 1407745243, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-28.