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PATRICIA SUE FANCIULLO
NPI 1679372528
Adult Companion in Omaha, NE

Active since March 12, 2025
4205 S 96TH ST, OMAHA, NE 68127(402) 972-7117 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia Sue Fanciullo NPPES

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

PATRICIA SUE FANCIULLO (NPI 1679372528) is an individual adult companion provider in Omaha, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1679372528
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NamePATRICIA SUE FANCIULLO
Location Address4205 S 96TH STOmaha, NE 68127-1259
Mailing Address4205 S 96th StOmaha, NE 68127-1259 · (402) 972-7117
Phone(402) 972-7117
Sole ProprietorNo
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1679372528 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.
4205 S 96TH ST, Omaha, NE 68127
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Other Providers at the Same Location NPPES 7

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

DEBRA CAMPERUND
Day Training/Habilitation Specialist
4205 S 96TH ST
OMAHA, NE 68127
Douglas County (402) 813-8737
STECY BATUPE
Nurse's Aide
4205 S 96TH ST
OMAHA, NE 68127
Douglas County (531) 466-1275
BEAUTIFUL LIFE ADULT CARE LLC
Clinic/Center (Adult Day Care)
4205 S 96TH ST
OMAHA, NE 68127
Douglas County (402) 709-6775
MR. MARK A ROBINSON
Driver
4205 S 96TH ST
OMAHA, NE 68127
Douglas County (531) 466-1275
NATHANIEL SCOTT SOUZA
Day Training/Habilitation Specialist
4205 S 96TH ST
OMAHA, NE 68127
Douglas County (402) 720-8404
ADZOYO SIKA AYITE-ARTHUR
Registered Nurse (General Practice)
4205 S 96TH ST
OMAHA, NE 68127
Douglas County (531) 466-1275
MR. EDI KOFFI ANTHONY RN
Registered Nurse (Administrator)
4205 S 96TH ST
OMAHA, NE 68127
Douglas County (531) 466-1275

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 Patricia Fanciullo's NPI number?

The NPI number for Patricia Fanciullo is 1679372528. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Patricia Fanciullo located?

Patricia Fanciullo practices at 4205 S 96th St, Omaha, NE 68127. The listed phone number is (402) 972-7117.

What is Patricia Fanciullo'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 Patricia Fanciullo was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.