Individual provider · Type 1 NPI

Jill Detavernier

Attendant Care Provider · Omaha, NE

NPI number 1205786134 Active

Practice location

5606 S 147th St
Omaha, NE 68137-2648

Call (402) 715-8200 Map

Mailing address

8152 S 184th Ter
Omaha, NE 68136-6448

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

247 other providers at this address

Other attendant care provider providers in Omaha

See all in Omaha →

About NPI 1205786134

Jill Detavernier's National Provider Identifier is 1205786134, issued on Jan 30, 2026. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Omaha, NE. The record was last updated on Jan 30, 2026.