Healthcare Provider Details

I. General information

NPI: 1376433102
Provider Name (Legal Business Name): ADAM J GEHRINGER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 BLACK FOREST DR
PAPILLION NE
68133-2303
US

IV. Provider business mailing address

903 BUCKBOARD BLVD
PAPILLION NE
68046-3741
US

V. Phone/Fax

Practice location:
  • Phone: 402-593-6653
  • Fax:
Mailing address:
  • Phone: 402-680-1042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: