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NPI Code Detail

MEDICARE: TODD SIMMONS

MEDICARE:   TODD  SIMMONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1407719347
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD SIMMONS
Provider Business Mailing Address
First Line : 7200 S 84TH ST
Second Line :
City : LA VISTA
State : NE
Zip : 68128-2115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3016 N 48TH AVE
Second Line :
City : OMAHA
State : NE
Zip : 68104-3772
Country : US
Telephone Number : 531-375-6099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ TODD SIMMONS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.