Healthcare Provider Details

I. General information

NPI: 1871425314
Provider Name (Legal Business Name): LORI S SARANDREA-HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5523 N 61ST ST
OMAHA NE
68104-1607
US

IV. Provider business mailing address

5523 N 61ST ST
OMAHA NE
68104-1607
US

V. Phone/Fax

Practice location:
  • Phone: 402-709-0286
  • Fax:
Mailing address:
  • Phone: 402-709-0286
  • 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: