Healthcare Provider Details

I. General information

NPI: 1205725900
Provider Name (Legal Business Name): CHRISTINA LILLIAN HOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 S 123RD ST
OMAHA NE
68144-2731
US

IV. Provider business mailing address

2104 S 123RD ST
OMAHA NE
68144-2731
US

V. Phone/Fax

Practice location:
  • Phone: 29-905-2094
  • Fax:
Mailing address:
  • Phone: 402-990-5209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: