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KAVONNE CROCKETT
NPI 1710638895
In Home Supportive Care in Lincoln, NE

Active since January 11, 2022
120 S 28TH ST # 1, LINCOLN, NE 68510(402) 805-2552 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Jan 11, 2022 (2 updates tracked since 2022).

About Kavonne Crockett NPPES

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

KAVONNE CROCKETT (NPI 1710638895) is an individual in home supportive care provider in Lincoln, Nebraska and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1710638895
Entity TypeIndividualFemale
Primary Taxonomy253Z00000X
Provider Legal NameKAVONNE CROCKETT
Location Address120 S 28TH ST # 1Lincoln, NE 68510-1319
Mailing Address120 S 28th St # 1Lincoln, NE 68510-1319 · (402) 805-2552
Phone(402) 805-2552
Sole ProprietorYes
Enumeration DateJanuary 11, 2022
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1710638895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
120 S 28TH ST # 1, Lincoln, NE 68510
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Other Providers at the Same Location NPPES

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

KAVONNE CROCKETT
In Home Supportive Care
120 S 28TH ST # 1
LINCOLN, NE 68510
Lancaster County (402) 805-2552

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 Kavonne Crockett's NPI number?

The NPI number for Kavonne Crockett is 1710638895. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is Kavonne Crockett located?

Kavonne Crockett practices at 120 S 28th St # 1, Lincoln, NE 68510. The listed phone number is (402) 805-2552.

What is Kavonne Crockett's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Kavonne Crockett was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.