Healthcare Provider Details

I. General information

NPI: 1386452613
Provider Name (Legal Business Name): JENNI COBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 S 25TH ST
BELLEVUE NE
68147-2125
US

IV. Provider business mailing address

2916 NEBRASKA DR
BELLEVUE NE
68005-4141
US

V. Phone/Fax

Practice location:
  • Phone: 531-299-1220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number374700000X
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: