Healthcare Provider Details

I. General information

NPI: 1003391210
Provider Name (Legal Business Name): BILLIE COLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 W 3RD ST
MC COOK NE
69001-3623
US

IV. Provider business mailing address

PO BOX 614
MC COOK NE
69001-0614
US

V. Phone/Fax

Practice location:
  • Phone: 308-350-1008
  • Fax: 308-350-1008
Mailing address:
  • Phone: 308-350-1008
  • Fax: 308-344-9406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: