Healthcare Provider Details

I. General information

NPI: 1407768674
Provider Name (Legal Business Name): JENNY VINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 FORT CROOK RD S STE 300
BELLEVUE NE
68005-2990
US

IV. Provider business mailing address

7334 S 70TH ST
LA VISTA NE
68128-2084
US

V. Phone/Fax

Practice location:
  • Phone: 402-507-9797
  • Fax:
Mailing address:
  • Phone: 402-960-4314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: