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MR. KELLICE LAJUAN ANDERSON
NPI 1366397614
Adult Companion in Omaha, NE

Active since March 02, 2026
2564 MARCY ST APT 5, OMAHA, NE 68105(402) 208-0706 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kellice Lajuan Anderson NPPES

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

MR. KELLICE LAJUAN ANDERSON (NPI 1366397614) is an individual adult companion provider in Omaha, Nebraska and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1366397614
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameMR. KELLICE LAJUAN ANDERSON
Location Address2564 MARCY ST APT 5Omaha, NE 68105-1671
Mailing Address2564 Marcy St Apt 5Omaha, NE 68105-1671
Phone(402) 208-0706
Sole ProprietorYes
Enumeration DateMarch 2, 2026
NPPES CertifiedMarch 2, 2026
✔ NPI 1366397614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
2564 MARCY ST APT 5, Omaha, NE 68105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kellice Anderson's NPI number?

The NPI number for Kellice Anderson is 1366397614. It was assigned to this individual provider in the NPPES registry on March 2, 2026.

Where is Kellice Anderson located?

Kellice Anderson practices at 2564 Marcy St Apt 5, Omaha, NE 68105. The listed phone number is (402) 208-0706.

What is Kellice Anderson's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Kellice Anderson was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.