MEDICARE: MELANIE KLAUSNER

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
1	373H00000X	Day Training/Habilitation Specialist	243AP9883	IA
2	372600000X	Adult Companion	243AP9883	IA

General Provider Information

NPI Number	:	1174400378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE KLAUSNER

Provider Business Mailing Address
First Line	:	3455 AVENUE E
Second Line	:
City	:	COUNCIL BLUFFS
State	:	IA
Zip	:	51501-1808
Country	:	US
Telephone Number	:	712-308-6554
Fax Number	:

Provider Business Practice Location Address
First Line	:	3807 BURT ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68131-1818
Country	:	US
Telephone Number	:	712-308-6554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/21/2025

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Directions to “ MELANIE KLAUSNER ” Practice Location

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