Amy Graham

Individual provider Active NPI Personal Care Attendant · Randolph, NE

NPI 1740160720 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1740160720
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
403 W Randall St
Randolph, NE 68771-5518
Phone
(402) 640-7579
NPI assigned
Sep 2, 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 Yes

Addresses

Primary practice location

403 W Randall St
Randolph, NE 68771-5518

Mailing address

403 W Randall St
Randolph, NE 68771-5518

Other providers in Randolph, NE

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

Sources for this page

Verify at the official NPI Registry.