Timothy Carrick

Individual provider Active NPI Personal Care Attendant · Chadron, NE

NPI 1003617606 · NPPES record last updated Mar 20, 2025

Key facts

NPI
1003617606
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
242 Pine St
Chadron, NE 69337-2234
Phone
(308) 665-1129
NPI assigned
Mar 20, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider
Group: 193200000X MULTI-SPECIALTY GROUP
372500000X
Adult Companion 372600000X
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

242 Pine St
Chadron, NE 69337-2234

Mailing address

242 Pine St
Chadron, NE 69337-2234
Phone (308) 430-1969

Other providers in Chadron, NE

All providers in Chadron, NE · Personal Care Attendant in Nebraska

Sources for this page

Verify at the official NPI Registry.