Individual ProviderSara BlackSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address13336 Industrial Rd, Suite 105, Omaha, NE 68137-1124(402) 330-3211PECOS EnrollmentBased on the most recent information from CMS, provider Sara Black does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:02 AM.Profile DetailsProvider ID1952742314Provider TypeIndividualFull NameBlack, SaraCredentialSLPGenderFemaleSole ProprietorNoEnumeration Date7/15/2013Last Updated7/15/2013Contact InformationPractice LocationPractice Address13336 Industrial Rd, Suite 105, Omaha, NE 68137-1124Phone(402) 330-3211Fax(402) 330-5970Mailing LocationMailing Address13336 Industrial Rd, Suite 105, Omaha, NE 68137-1124Phone(402) 330-3211Fax(402) 330-5970Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense1616NebraskaProvider IdentifiersIDDescriptionIssuerIDPENDINGDescriptionMedicaidIssuerUnlistedNebraska