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NPI Code Detail

MEDICARE: JOHNNESA HANKS

MEDICARE: JOHNNESA HANKS
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
1372500000XChore Provider
2374U00000XHome Health Aide
3372600000XAdult Companion
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1417845439
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHNNESA HANKS
Provider Business Mailing Address
First Line : 11110 S 180TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68136-2008
Country : US
Telephone Number : 402-955-9500
Fax Number :
Provider Business Practice Location Address
First Line : 11110 S 180TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68136-2008
Country : US
Telephone Number : 402-955-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2025
Last Update Date : 01/05/2026

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Directions to “ JOHNNESA HANKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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