1265560643 NPI number — HELEN FRANCINE GRACE DO

Table of content: HELEN FRANCINE GRACE DO (NPI 1265560643)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265560643 NPI number — HELEN FRANCINE GRACE DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GRACE
Provider First Name:
HELEN
Provider Middle Name:
FRANCINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GOMES
Provider Other First Name:
HELEN
Provider Other Middle Name:
FRANCINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DO
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1265560643
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8404 INDIAN HILLS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68114-4041
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-955-8744
Provider Business Mailing Address Fax Number:
402-955-6925

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
NEBRASKA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
42ND AND EMILE STREET
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68198-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-955-8125
Provider Business Practice Location Address Fax Number:
402-955-8140
Provider Enumeration Date:
02/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  1572 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200960660 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2994274 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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