MEDICARE: CAYLEE LYNN LOOMIS

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	372600000X	Adult Companion		NE

General Provider Information

NPI Number	:	1366380891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAYLEE LYNN LOOMIS

Provider Business Mailing Address
First Line	:	805 W J ST
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-3047
Country	:	US
Telephone Number	:	308-299-0115
Fax Number	:

Provider Business Practice Location Address
First Line	:	805 W J ST
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-3047
Country	:	US
Telephone Number	:	308-299-0115
Fax Number	:

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

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ CAYLEE LYNN LOOMIS ” Practice Location

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