MEDICARE: ROBERT LEE DRISCOLL

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
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
2	372500000X	Chore Provider

General Provider Information

NPI Number	:	1568320844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LEE DRISCOLL

Provider Business Mailing Address
First Line	:	1201 GOLDEN GATE DR
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-2837
Country	:	US
Telephone Number	:	531-600-3934
Fax Number	:

Provider Business Practice Location Address
First Line	:	7106 CHANDLER HILLS DR
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68147-1517
Country	:	US
Telephone Number	:	531-600-3934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ ROBERT LEE DRISCOLL ” Practice Location

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