Individual provider · Type 1 NPI

Jordan Alexander Kollbaum

Adult Companion · Norfolk, NE

NPI number 1215824701 Active

Practice location

1909 Vicki Ln Ste 110
Norfolk, NE 68701-4542

Mailing address

209 Galvin Rd N
Bellevue, NE 68005-4852

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1215824701

Jordan Alexander Kollbaum's National Provider Identifier is 1215824701, issued on Jun 18, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Norfolk, NE. The record was last updated on Jun 18, 2025.