Healthcare Provider Details
I. General information
NPI: 1447057070
Provider Name (Legal Business Name): LEONA R KRANZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/01/2025
Last Update Date: 03/01/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
604 OAKLAND AVE
ELWOOD NE
68937-5222
US
IV. Provider business mailing address
11011 Q ST STE 101C
OMAHA NE
68137-3700
US
V. Phone/Fax
- Phone: 308-325-4445
- Fax:
- Phone: 402-697-5121
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372500000X |
| Taxonomy | Chore Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: