Individual provider · Type 1 NPI

Theodore Yetongnon

Adult Companion · Omaha, NE

NPI number 1396545935 Active

Practice location

4717 S 14th St
Omaha, NE 68107-3007

Call (402) 218-8280 Map

Mailing address

9744 Mockingbird Dr
Omaha, NE 68127-2013

Specialties and licenses

Taxonomy	Code	License
Adult Companion Primary	372600000X	None 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 1396545935

Theodore Yetongnon's National Provider Identifier is 1396545935, issued on Mar 13, 2025. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Omaha, NE. The record was last updated on Mar 13, 2025.