Healthcare Provider Details

I. General information

NPI: 1285579169
Provider Name (Legal Business Name): CAROLINE ROGERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 S 42ND ST STE 200
OMAHA NE
68105-2933
US

IV. Provider business mailing address

1941 S 42ND ST STE 200
OMAHA NE
68105-2933
US

V. Phone/Fax

Practice location:
  • Phone: 402-578-8203
  • Fax:
Mailing address:
  • Phone: 402-578-8203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberH13362509
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: