Healthcare Provider Details

I. General information

NPI: 1134091960
Provider Name (Legal Business Name): LANDRY FAGBOHOUN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 N HILL RD APT 208
LINCOLN NE
68504-4734
US

IV. Provider business mailing address

3133 N HILL RD APT 208
LINCOLN NE
68504-4734
US

V. Phone/Fax

Practice location:
  • Phone: 402-432-6259
  • Fax:
Mailing address:
  • Phone: 402-432-6259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: