Healthcare Provider Details

I. General information

NPI: 1326968579
Provider Name (Legal Business Name): TAHSIN ELIAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 LAMONT DR
LINCOLN NE
68528-1444
US

IV. Provider business mailing address

3012 NW 7TH ST
LINCOLN NE
68521-3276
US

V. Phone/Fax

Practice location:
  • Phone: 402-480-9187
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: