Healthcare Provider Details

I. General information

NPI: 1114876562
Provider Name (Legal Business Name): CINDY ARREOLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2642 CARLETON AVENUE APT 12
GRAND ISLAND NE
68803
US

IV. Provider business mailing address

2642 CARLETON AVE APT 12
GRAND ISLAND NE
68803-1239
US

V. Phone/Fax

Practice location:
  • Phone: 308-383-1085
  • Fax: 308-383-1085
Mailing address:
  • Phone: 308-383-1085
  • Fax: 308-383-1085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: