Healthcare Provider Details

I. General information

NPI: 1760390926
Provider Name (Legal Business Name): FLOYD JOHNSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2634 FRANKLIN ST
OMAHA NE
68111-4424
US

IV. Provider business mailing address

2634 FRANKLIN ST
OMAHA NE
68111-4424
US

V. Phone/Fax

Practice location:
  • Phone: 402-637-1356
  • Fax:
Mailing address:
  • Phone: 402-637-1356
  • 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: