Healthcare Provider Details

I. General information

NPI: 1992662423
Provider Name (Legal Business Name): TONJA A HORTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 N WILLIAM AVE
FREMONT NE
68025-4670
US

IV. Provider business mailing address

636 N WILLIAM AVE
FREMONT NE
68025-4670
US

V. Phone/Fax

Practice location:
  • Phone: 531-370-0028
  • Fax:
Mailing address:
  • Phone: 531-370-0028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: