Mary Anderson

Individual provider Active NPI Personal Care Attendant · Omaha, NE

NPI 1366245250 · NPPES record last updated Mar 28, 2025

Key facts

NPI
1366245250
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
13939 Gold Cir
Omaha, NE 68144-2310
Phone
(402) 982-9254
NPI assigned
Mar 28, 2025
Sex
Female
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)CodeLicenseStatePrimary
Chore Provider 372500000X
Personal Care Attendant 3747P1801X Yes
Adult Companion 372600000X

Addresses

Primary practice location

13939 Gold Cir
Omaha, NE 68144-2310

Mailing address

13939 Gold Cir
Omaha, NE 68144-2310

Other providers in Omaha, NE

All providers in Omaha, NE · Personal Care Attendant in Nebraska

Sources for this page

Verify at the official NPI Registry.