Healthcare Provider Details

I. General information

NPI: 1982523643
Provider Name (Legal Business Name): LILLIAN THAYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 MAYFLOWER RD
BELLEVUE NE
68123-4703
US

IV. Provider business mailing address

2006 ORIOLE DR
BELLEVUE NE
68123-4747
US

V. Phone/Fax

Practice location:
  • Phone: 402-321-9833
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: