Individual provider · Type 1 NPI

Courtney N. Petersen

In Home Supportive Care Agency · South Sioux City, NE

NPI number 1285430686 Active

Practice location

1600 Commerce Way
South Sioux City, NE 68776-6877

Call (402) 494-9171 Map

Mailing address

465 Crystal St
Lyons, NE 68038-2521

Other practice locations

  • 426 E 22nd St, Fremont, NE 68025-2609 · (402) 727-7900

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
In Home Supportive Care Agency Primary 253Z00000XNone listed
Chore Provider 372500000XNone listed
Personal Care Attendant 3747P1801XNone listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1285430686

Courtney N. Petersen's National Provider Identifier is 1285430686, issued on Feb 25, 2025. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in South Sioux City, NE. The record was last updated on Nov 2, 2026.