Ashlee M Haynes

Primary specialty

Chore ProviderTaxonomy code 372500000X

License

6173888 Issued in NE

Practice address

3015 Menke Cir Ste 63015
Omaha, NE 68134-4632

Phone

(402) 212-7765

NPI assigned

Oct 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Majestic Living LLC

  • Child Physical Disabilities Respite Care
  • Omaha, NE
  • NPI 1548073778

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1730900267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 MENKE CIR STE 63015",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344632",
            "telephone_number": "402-212-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 MENKE CIR STE 63015",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344632",
            "telephone_number": "402-212-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ASHLEE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "6173888",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NE",
            "license": "6173888",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NE",
            "license": "6173888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Hayichoo
• Nakeisha Haynes-Fuller
• Kim K. Haynes-Henson, MD
• Andrea Shana Haynes, RN
• Aqila Haynes
• Bernadette Haynes
• Breana Haynes
• Carlyn Danae Haynes, OTR/L
• Celeste Haynes
• Dakota Trishon Haynes

• Chore Provider in Omaha, NE
• Providers in Omaha, NE by specialty
• Chore Provider in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.