MEDICARE: DAWN MARIE ROCK

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	3747P1801X	Personal Care Attendant		NE

General Provider Information

NPI Number	:	1811848112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN MARIE ROCK

Provider Business Mailing Address
First Line	:	4202 CUMING ST APT 1
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68131-1044
Country	:	US
Telephone Number	:	402-917-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4552 N 13TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68110-1527
Country	:	US
Telephone Number	:	402-917-5000
Fax Number	:

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ DAWN MARIE ROCK ” Practice Location

Language	Start Address	Practice Location

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