Healthcare Provider Details

I. General information

NPI: 1770382152
Provider Name (Legal Business Name): JANE SHERYL YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANE SHERYL YOUNG

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S 10TH ST
WYMORE NE
68466-2141
US

IV. Provider business mailing address

505 S 10TH ST # NE68466
WYMORE NE
68466-2141
US

V. Phone/Fax

Practice location:
  • Phone: 402-239-7265
  • Fax:
Mailing address:
  • Phone: 402-239-7265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number251E00000X
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number251E00000X
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: