Darrell Anderson
Individual provider Active NPI In Home Supportive Care Agency · Dixon, NE
NPI 1144033705 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1144033705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- PO Box 2
Dixon, NE 68732-0002 - Phone
- (402) 360-2130
- NPI assigned
- Jan 28, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
PO Box 2
Dixon, NE 68732-0002
Mailing address
304 N Main St
Dixon, NE 68732-3037
Phone (402) 360-2130
Other providers in Dixon, NE
All providers in Dixon, NE · In Home Supportive Care Agency in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.