Keith Andrew Miller Jr.
Individual provider Active NPI Chore Provider · Wausa, NE
NPI 1790664100 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1790664100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chore Provider 372500000X
- Practice address
- 506 S Bismark St
Wausa, NE 68786-2029 - Phone
- (402) 358-0723
- NPI assigned
- Aug 29, 2025
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Chore Provider | 372500000X | Yes |
Addresses
Primary practice location
506 S Bismark St
Wausa, NE 68786-2029
Mailing address
506 S Bismark St
Wausa, NE 68786-2029
Phone (402) 358-0723
Other providers in Wausa, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.