ANETRIUS SHANTELL VAUGHN
NPI 1508664970
Technician - Attendant Care Provider in Omaha, NE
- Individual
- Technician
- Attendant Care Provider
About ANETRIUS VAUGHN
This page provides the complete NPI Profile along with additional information for Anetrius Vaughn, a provider established in Omaha, Nebraska operating as a Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1508664970 assigned on March 2025. The practitioner's primary taxonomy code is 3747A0650X. The provider is registered as an individual and their NPI record was last updated one year ago.
- NPI
- 1508664970 Verify this NPI
- Provider Name
- ANETRIUS SHANTELL VAUGHN
- Gender
- Entity Type
- Individual
- Location Address
- 1502 N 70TH AVE OMAHA, NE 68104
- Location Phone
- (402) 714-2843
- Mailing Address
- 3606 S 67TH CT APT 25 OMAHA, NE 68106
- Mailing Phone
- (402) 714-2843
- Mailing Fax
- (402) 714-2843
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-03-2025
- Last Update Date
- 12-05-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician Attendant Care Provider
- Taxonomy Code
- 3747A0650X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508664970, enumerated as an "individual" on March 03, 2025.
The provider is located at 1502 N 70TH AVE OMAHA, NE 68104 and the phone number is (402) 714-2843.
Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.
