Healthcare Provider Details

I. General information

NPI: 1275333270
Provider Name (Legal Business Name): LISSA J BEBEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E GOLD COAST RD STE 430
PAPILLION NE
68046-5748
US

IV. Provider business mailing address

1401 S 10TH ST APT 3
OMAHA NE
68108-3606
US

V. Phone/Fax

Practice location:
  • Phone: 402-331-3073
  • Fax:
Mailing address:
  • Phone: 402-250-4793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: