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NPI Code Detail

MEDICARE: TRI-CITIES HOME CARE, LLC

MEDICARE: TRI-CITIES HOME CARE, LLC
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
13747A0650XAttendant Care Provider
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1295694321
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI-CITIES HOME CARE, LLC
Provider Business Mailing Address
First Line : 1420 W 2ND ST
Second Line :
City : HASTINGS
State : NE
Zip : 68901-4961
Country : US
Telephone Number : 402-462-8500
Fax Number :
Provider Business Practice Location Address
First Line : 1420 W 2ND ST
Second Line :
City : HASTINGS
State : NE
Zip : 68901-4961
Country : US
Telephone Number : 402-462-8500
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : HEATHER HENDERSON
Credential :
Telephone Number : 501-764-1814
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “TRI-CITIES HOME CARE, LLC ” Practice Location

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