Individual provider Active NPI

Brenda Kay Landholm

  • Chore Provider
  • Norfolk, NE
National Provider Identifier
1629879622
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
372600000X Issued in NE
Practice address
3206 Raasch Dr Ste 300
Norfolk, NE 68701-3175
Phone
(402) 860-4505
NPI assigned
Mar 24, 2025
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X
Personal Care Attendant 3747P1801X 374P1801X NE
Chore Provider 372500000X 372600000X NE Primary
Chore Provider 372500000X 3747P1801X NE
Adult Companion 372600000X
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

3206 Raasch Dr Ste 300
Norfolk, NE 68701-3175

Mailing address

607 W Cedar Ave Apt 26
Norfolk, NE 68701-2885

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

State licenses

LicenseStateTypeSpecialty
372600000XNEMDAdult Companion
3747P1801XNEMDPersonal Care Attendant
374P1801XNEMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1629879622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W CEDAR AVE APT 26",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 RAASCH DR STE 300",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013175",
            "telephone_number": "402-860-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDHOLM",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NE",
            "license": "374P1801X",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NE",
            "license": "372600000X",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NE",
            "license": "3747P1801X",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.