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MR. LARRY DERKSEN JR.
NPI 1053109447
Home Health Aide in Omaha, NE

Active since April 28, 2025
17131 JOANNE DR, OMAHA, NE 68136(402) 639-8407(402) 639-8407 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Larry Derksen Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY DERKSEN JR. (NPI 1053109447) is an individual home health aide in Omaha, Nebraska and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1053109447
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameMR. LARRY DERKSEN JR.
Location Address17131 JOANNE DROmaha, NE 68136-4156
Mailing Address17131 Joanne DrOmaha, NE 68136-4156 · (402) 639-8407
Phone(402) 639-8407
Fax(402) 639-8407
Sole ProprietorNo
Enumeration DateApril 28, 2025
NPPES CertifiedApril 27, 2025
✔ NPI 1053109447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
17131 JOANNE DR, Omaha, NE 68136
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Derksen's NPI number?

The NPI number for Larry Derksen is 1053109447. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Larry Derksen located?

Larry Derksen practices at 17131 Joanne Dr, Omaha, NE 68136. The listed phone number is (402) 639-8407.

What is Larry Derksen's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Larry Derksen was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.