Healthcare Provider Details

I. General information

NPI: 1417769928
Provider Name (Legal Business Name): ENVISIONS OF NORFOLK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 N 4TH ST
NORFOLK NE
68701-4003
US

IV. Provider business mailing address

305 N 4TH ST
NORFOLK NE
68701-4003
US

V. Phone/Fax

Practice location:
  • Phone: 402-371-1147
  • Fax: 402-371-1218
Mailing address:
  • Phone: 402-371-1147
  • Fax: 402-371-1218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: TONYA KUCHAR
Title or Position: DIRECTOR
Credential:
Phone: 402-371-1147