Mariah Bardell

Individual provider Active NPI In Home Supportive Care Agency · North Platte, NE

NPI 1619787215 · NPPES record last updated Jan 7, 2025

Key facts

NPI
1619787215
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
1200 S Oak St
North Platte, NE 69101-6512
Phone
(308) 660-4412
NPI assigned
Jan 7, 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
Personal Care Attendant 3747P1801X
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

1200 S Oak St
North Platte, NE 69101-6512

Mailing address

216 N Grant Ave
North Platte, NE 69101-4649
Phone (308) 660-4412

Other names

  • Mariah McKeeman Former name

Other providers in North Platte, NE

All providers in North Platte, NE · In Home Supportive Care Agency in Nebraska

Sources for this page

Verify at the official NPI Registry.