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NPI Code Detail

MEDICARE: SARA LEISY

MEDICARE:   SARA  LEISY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideNE

General Provider Information

NPI Number : 1124953070
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA LEISY
Provider Business Mailing Address
First Line : 604 PARK AVE # 653
Second Line :
City : HEMINGFORD
State : NE
Zip : 69348-1902
Country : US
Telephone Number : 308-763-1397
Fax Number :
Provider Business Practice Location Address
First Line : 604 PARK AVE # 653
Second Line :
City : HEMINGFORD
State : NE
Zip : 69348-1902
Country : US
Telephone Number : 308-763-1397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ SARA LEISY ” Practice Location

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