Healthcare Provider Details

I. General information

NPI: 1881330108
Provider Name (Legal Business Name): SAFE AT HOME SIDNEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 10TH AVE
SIDNEY NE
69162-1609
US

IV. Provider business mailing address

925 10TH AVE
SIDNEY NE
69162-1609
US

V. Phone/Fax

Practice location:
  • Phone: 308-249-0718
  • Fax: 308-365-6868
Mailing address:
  • Phone: 308-249-0718
  • Fax: 308-365-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMBER ANN FIELDS
Title or Position: OWNER
Credential:
Phone: 308-249-0718