Healthcare Provider Details

I. General information

NPI: 1780501825
Provider Name (Legal Business Name): CANDACE KAY MARCHANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2832 S 13TH ST
LINCOLN NE
68502-4510
US

IV. Provider business mailing address

2832 S 13TH ST
LINCOLN NE
68502-4510
US

V. Phone/Fax

Practice location:
  • Phone: 515-694-0748
  • Fax:
Mailing address:
  • Phone: 515-694-0748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: