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MISS COZETTA C FUDGE SOLE CARE PROVIDER
NPI 1841180429
Technician - Attendant Care Provider in Omaha, NE

Active since July 07, 2025
4672 NEBRASKA AVE, OMAHA, NE 68104(402) 312-7934 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Cozetta C Fudge Sole Care Provider NPPES

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

MISS COZETTA C FUDGE SOLE CARE PROVIDER (NPI 1841180429) is an individual attendant care provider provider in Omaha, Nebraska, licensed in Nebraska (G01174212) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1841180429
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameMISS COZETTA C FUDGECredential: SOLE CARE PROVIDER
Location Address4672 NEBRASKA AVEOmaha, NE 68104-1467
Mailing Address4672 Nebraska AveOmaha, NE 68104-1467 · (402) 312-7934
Phone(402) 312-7934
Sole ProprietorYes
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1841180429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
License✔ Licensed in NE · G01174212
Definition
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.
4672 NEBRASKA AVE, Omaha, NE 68104
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Other Names 1

Former Name (1)Miss Cozetta C Fudge Sole Care Provider

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Cozetta Fudge's NPI number?

The NPI number for Cozetta Fudge is 1841180429. It was assigned to this individual provider in the NPPES registry on July 7, 2025. The provider is also known as Miss Cozetta C Fudge Sole Care Provider.

Where is Cozetta Fudge located?

Cozetta Fudge practices at 4672 Nebraska Ave, Omaha, NE 68104. The listed phone number is (402) 312-7934.

What is Cozetta Fudge's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Cozetta Fudge was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.