Individual provider Active NPI

Missery Leon Haruo

  • Chore Provider
  • Lexington, NE
National Provider Identifier
1104781194
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Practice address
1212 N Jackson St
Lexington, NE 68850-1731
Phone
(308) 784-4222
NPI assigned
Dec 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 372500000X Primary

Addresses

Primary practice location

1212 N Jackson St
Lexington, NE 68850-1731

Mailing address

821 Avenue J
Cozad, NE 69130-1708
Phone (308) 784-4222

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Developmental Services CurrentSince Dec 28, 2025 Accepting new patients

Locations

821 J St
Cozad, NE 69130
Phone (308) 784-4222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1104781194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 AVENUE J",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301708",
            "telephone_number": "308-784-4222",
            "fax_number": "308-784-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N JACKSON ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501731",
            "telephone_number": "308-784-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARUO",
        "first_name": "MISSERY",
        "middle_name": "LEON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.