Healthcare Provider Details

I. General information

NPI: 1225953466
Provider Name (Legal Business Name): TERRY GOINS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12206 POPPLETON PLZ APT 133
OMAHA NE
68144-1353
US

IV. Provider business mailing address

1299 FARNAM ST STE 300
OMAHA NE
68102-1857
US

V. Phone/Fax

Practice location:
  • Phone: 501-909-5800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: