Healthcare Provider Details

I. General information

NPI: 1821901208
Provider Name (Legal Business Name): ALEXIA ARROYO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12120 PORT GRACE BLVD STE 101
LA VISTA NE
68128-8235
US

IV. Provider business mailing address

12120 PORT GRACE BLVD STE 101
LA VISTA NE
68128-8235
US

V. Phone/Fax

Practice location:
  • Phone: 402-287-6171
  • Fax:
Mailing address:
  • Phone: 402-287-6171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: