Healthcare Provider Details

I. General information

NPI: 1770490328
Provider Name (Legal Business Name): MARCELLA CANBY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 R ST
LINCOLN NE
68503-3041
US

IV. Provider business mailing address

4940 O ST
LINCOLN NE
68510-1957
US

V. Phone/Fax

Practice location:
  • Phone: 402-601-0397
  • Fax:
Mailing address:
  • Phone: 402-601-0397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARCELLA LYNN CANBY
Title or Position: OWNER
Credential: RN
Phone: 402-601-0397