KENDRICK WALLACE
NPI 1790677318
In Home Supportive Care in Omaha, NE
- Individual
- Male
- In Home Supportive Care
About KENDRICK WALLACE
This page provides the complete NPI Profile along with additional information for Kendrick Wallace, a provider established in Omaha, Nebraska with a medical specialization in In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1790677318 assigned on July 2025. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1790677318 Verify this NPI
- Provider Name
- KENDRICK WALLACE
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7802 HOWARD ST OMAHA, NE 68114
- Location Phone
- (402) 689-7333
- Mailing Address
- 7802 HOWARD ST OMAHA, NE 68114
- Mailing Phone
- (402) 689-7333
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-17-2025
- Last Update Date
- 07-17-2025
- 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
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790677318, enumerated as an "individual" on July 17, 2025.
The provider is located at 7802 HOWARD ST OMAHA, NE 68114 and the phone number is (402) 689-7333.
In Home Supportive Care with taxonomy code 253Z00000X.
