MEDICARE: CALEB JOEL LOUTHAN

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	385H00000X	Respite Care
2	372600000X	Adult Companion		NE

General Provider Information

NPI Number	:	1811846959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALEB JOEL LOUTHAN

Provider Business Mailing Address
First Line	:	1116 S 2ND ST
Second Line	:
City	:	NEBRASKA CITY
State	:	NE
Zip	:	68410-3661
Country	:	US
Telephone Number	:	402-969-0891
Fax Number	:

Provider Business Practice Location Address
First Line	:	1116 S 2ND ST APT 107
Second Line	:
City	:	NEBRASKA CITY
State	:	NE
Zip	:	68410-3659
Country	:	US
Telephone Number	:	402-969-0891
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ CALEB JOEL LOUTHAN ” Practice Location

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