Healthcare Provider Details

I. General information

NPI: 1831008986
Provider Name (Legal Business Name): CARRIE BADEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 N 5TH AVE
SPRINGFIELD NE
68059-4751
US

IV. Provider business mailing address

1025 N 5TH AVE
SPRINGFIELD NE
68059-4751
US

V. Phone/Fax

Practice location:
  • Phone: 502-968-0165
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberH12817621
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: