Healthcare Provider Details

I. General information

NPI: 1780500470
Provider Name (Legal Business Name): KAELEE S VANEVERY CNA-MED AID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 N 3RD ST
PLAINVIEW NE
68769-2047
US

IV. Provider business mailing address

704 N 3RD ST
PLAINVIEW NE
68769-2047
US

V. Phone/Fax

Practice location:
  • Phone: 402-582-4249
  • Fax: 402-582-4229
Mailing address:
  • Phone: 402-582-4249
  • Fax: 402-582-4229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number155714
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: