Kavonne Crockett

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KAVONNE CROCKETT

Practice address

120 S 28TH St # 1
Lincoln, NE 68510-1319

Phone

(402) 805-2552

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Kavonne CrockettNPI 1710638895

Title

Ceo

Phone

(402) 805-2552

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kavonne Crockett

  • In Home Supportive Care Agency
  • Lincoln, NE
  • NPI 1710638895
  NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1083366025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 28TH ST # 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101319",
            "telephone_number": "402-805-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 28TH ST # 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101319",
            "telephone_number": "402-805-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVONNE CROCKETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "KAVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-805-2552"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mylnn Kavan
• Douglas P Kavanaugh, P.T.
• Kacie Kavanaugh
• Tiffany M. Kavanaugh, LCSW
• Kimberly M Kaven, PHARMD
• Ta Kaw
• Wooroud Kazem
• Michael G Keady, M.S, LMHP
• Kearney Physician Network LLC
• Nabila M Kearney

• In Home Supportive Care Agency in Lincoln, NE
• Providers in Lincoln, NE by specialty
• In Home Supportive Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.