Individual provider · Type 1 NPI
Mark John Konecny
Child Physical Disabilities Respite Care · Omaha, NE
NPI number
1164301024
Active
Practice location
15420 Summerwood Dr
Omaha, NE 68137-5107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Physical Disabilities Respite Care Primary | 385HR2065X | None listed |
Child Physical Disabilities Respite Care: A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
Another provider at this address
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About NPI 1164301024
Mark John Konecny's National Provider Identifier is 1164301024, issued on Aug 27, 2025. The primary taxonomy on file is Child Physical Disabilities Respite Care (385HR2065X), and the practice location is in Omaha, NE. The record was last updated on Aug 27, 2025.