Healthcare Provider Details

I. General information

NPI: 1538022447
Provider Name (Legal Business Name): DANIELLE JOI BAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4611 S 96TH ST STE 223
OMAHA NE
68127-1243
US

IV. Provider business mailing address

1305 OHIO ST
FREMONT NE
68025-2104
US

V. Phone/Fax

Practice location:
  • Phone: 308-672-6043
  • Fax:
Mailing address:
  • Phone: 308-672-6043
  • 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: