MEDICARE: DARRIANNE HENDERSON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	372500000X	Chore Provider
3	372600000X	Adult Companion

General Provider Information

NPI Number	:	1578403085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRIANNE HENDERSON

Provider Business Mailing Address
First Line	:	319 S 17TH ST STE 233
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68102-2040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 S 17TH ST STE 233
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68102-2040
Country	:	US
Telephone Number	:	402-513-4406
Fax Number	:

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

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/01/2026

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Directions to “ DARRIANNE HENDERSON ” Practice Location

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