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TAVIS SHANE HOOTEN
NPI 1578448973
Homemaker in Omaha, NE

Active since August 06, 2025
16909 LAKESIDE HILLS PLZ STE 114, OMAHA, NE 68130(402) 932-2211(402) 932-9002 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tavis Shane Hooten NPPES

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

TAVIS SHANE HOOTEN (NPI 1578448973) is an individual homemaker provider in Omaha, Nebraska and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1578448973
Entity TypeIndividualMale
Primary Taxonomy376J00000X
Provider Legal NameTAVIS SHANE HOOTEN
Location Address16909 LAKESIDE HILLS PLZ STE 114Omaha, NE 68130-4652
Mailing Address16909 Lakeside Hills Plz Ste 114Omaha, NE 68130-4652 · (402) 932-2211 · Fax (402) 932-9002
Phone(402) 932-2211
Fax(402) 932-9002
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1578448973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
16909 LAKESIDE HILLS PLZ STE 114, Omaha, NE 68130
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDI TATUM
Homemaker
16909 LAKESIDE HILLS PLZ STE 114
OMAHA, NE 68130
Douglas County (402) 932-2211
JEWEL F ADANLETE CNA
Home Health Aide
16909 LAKESIDE HILLS PLZ STE 114
OMAHA, NE 68130
Douglas County (402) 932-2211
SHARMAYNE SOAPPMAN
Home Health Aide
16909 LAKESIDE HILLS PLZ STE 114
OMAHA, NE 68130
Douglas County (402) 932-2211
KATIE MARIE LYNN MOORE
Homemaker
16909 LAKESIDE HILLS PLZ STE 114
OMAHA, NE 68130
Douglas County (402) 932-2211
TYNAYA REED-COLLINS
Homemaker
16909 LAKESIDE HILLS PLZ STE 114
OMAHA, NE 68130
Douglas County (402) 932-2211
RAMON LENORA LOWE
Home Health Aide
16909 LAKESIDE HILLS PLZ STE 114
OMAHA, NE 68130
Douglas County (402) 932-2211
GWENDOLYN L GULIZIA
Homemaker
16909 LAKESIDE HILLS PLZ STE 114
OMAHA, NE 68130
Douglas County (402) 932-2211
TYEASHA PERRY CNA
Home Health Aide
16909 LAKESIDE HILLS PLZ STE 114
OMAHA, NE 68130
Douglas County (402) 932-2211

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 Tavis Hooten's NPI number?

The NPI number for Tavis Hooten is 1578448973. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Tavis Hooten located?

Tavis Hooten practices at 16909 Lakeside Hills Plz Ste 114, Omaha, NE 68130. The listed phone number is (402) 932-2211.

What is Tavis Hooten's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Tavis Hooten was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.