Healthcare Provider Details

I. General information

NPI: 1730062738
Provider Name (Legal Business Name): ELIZABETH ANN ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7905 L ST STE 420
OMAHA NE
68127-1732
US

IV. Provider business mailing address

20552 GLENN ST APT B
ELKHORN NE
68022-2331
US

V. Phone/Fax

Practice location:
  • Phone: 402-515-2654
  • Fax:
Mailing address:
  • Phone: 531-205-6022
  • 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: