Individual provider · Type 1 NPI

Itasia Simone Johnson

Homemaker · Omaha, NE

NPI number 1255238580 Active

Practice location

16909 Lakeside Hills Plz Ste 114
Omaha, NE 68130-4652

Call (402) 932-2211 Map

Fax (402) 932-9002

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1255238580

Itasia Simone Johnson's National Provider Identifier is 1255238580, issued on Oct 21, 2026. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Omaha, NE. The record was last updated on Oct 21, 2026.