Life Community Outreach Center
NPI 1952163099ActiveOrganization· PACE Provider Organization· Omaha, NE
PACE Provider Organization in Omaha, Nebraska, registered in NPPES in January 2024. The authorized official on file is Tylena Tucker, Founder.
Overview
| NPI | 1952163099 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2024 |
| Last updated in NPPES | Jan 24, 2024 |
| Certified by provider | Jan 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other PACE Provider Organization providers in Omaha
- 1891682480
- 1912276585
- 1851712905