Provider Demographics
NPI:1790677672
Name:CROKER FAMILY CARE
Entity type:Organization
Organization Name:CROKER FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:PROF
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CROKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-939-8878
Mailing Address - Street 1:3707 MARCY ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1832
Mailing Address - Country:US
Mailing Address - Phone:402-216-3929
Mailing Address - Fax:
Practice Address - Street 1:3707 MARCY ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1832
Practice Address - Country:US
Practice Address - Phone:402-216-3929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty