Active NPI
Agelica Chavez
- Chore Provider
- South Sioux City, NE
National Provider Identifier
1063206399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 609 8TH Ave
South Sioux City, NE 68776-1553 - Phone
- (712) 204-2730
- NPI assigned
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NE | ||
| Personal Care Attendant | 3747P1801X | NE | ||
| Chore Provider | 372500000X | NE | Primary |
Addresses
Primary practice location
609 8TH Ave
South Sioux City, NE 68776-1553
Mailing address
609 8TH Ave
South Sioux City, NE 68776-1553
Phone (712) 204-2730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1063206399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 8TH AVE",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687761553",
"telephone_number": "712-204-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 8TH AVE",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687761553",
"telephone_number": "712-204-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "AGELICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.