Individual provider · Type 1 NPI
Anetrius Shantell Vaughn
Attendant Care Provider · Omaha, NE
Practice location
1502 N 70th Ave
Omaha, NE 68104-4621
Mailing address
3606 S 67th Ct Apt 25
Omaha, NE 68106-4250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None 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.
2 other providers at this address
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About NPI 1508664970
Anetrius Shantell Vaughn's National Provider Identifier is 1508664970, issued on Mar 3, 2025. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Omaha, NE. The record was last updated on Dec 5, 2025.