Amanda Wallace

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

825 Dorcas St
Omaha, NE 68108-1160

Phone

(402) 926-4444

Fax

(402) 393-8230

NPI assigned

May 30, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delmar Gardens of Omaha, LLC

  • Home Health Agency
  • Omaha, NE
  • NPI 1760477525
  NPD
• Delmar Gardens of Omaha, LLC

  • Community Based Hospice Care Agency
  • Omaha, NE
  • NPI 1790771301
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1013800994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DORCAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081160",
            "telephone_number": "402-926-4444",
            "fax_number": "402-393-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DORCAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081160",
            "telephone_number": "402-926-4444",
            "fax_number": "402-393-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Walker
• Vincent Walker Jr.
• Emily Wall, M.S.,CCC-SLP
• Heather A Wall, LIMHP, LMHP, LADC
• Justine Alexandra Wall, M.S.
• Anthony Nelson Wallace Jr.
• Beionka Wallace
• Brenda Wallace
• Dala Wallace
• David Mark Wallace

• Home Health Aide in Omaha, NE
• Providers in Omaha, NE by specialty
• Home Health Aide in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.