Healthcare Provider Details

I. General information

NPI: 1336952993
Provider Name (Legal Business Name): AYLA MARIE DYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AYLA MARIE GOETZ

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 IOWA ST
OMAHA NE
68112-2503
US

IV. Provider business mailing address

3412 11TH AVE
COUNCIL BLUFFS IA
51501-5638
US

V. Phone/Fax

Practice location:
  • Phone: 402-612-8176
  • Fax:
Mailing address:
  • Phone: 641-980-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: