MEDICARE: JOHN MICHAEL PALMER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	315P00000X	Intellectual Disabilities Intermediate Care Facility
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5	372500000X	Chore Provider
6	372600000X	Adult Companion
7	373H00000X	Day Training/Habilitation Specialist
8	3747P1801X	Personal Care Attendant
9	374U00000X	Home Health Aide
10	376J00000X	Homemaker
11	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1922930536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MICHAEL PALMER

Provider Business Mailing Address
First Line	:	425 W LINCOLN ST APT 1
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-2511
Country	:	US
Telephone Number	:	806-282-4916
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 W LINCOLN ST APT 1
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68046-2511
Country	:	US
Telephone Number	:	806-282-4916
Fax Number	:

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

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

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