Jermaine Lamar Mountain
Home Health Aide in Omaha, NE. Individual provider (NPI-1).
NPI number1073404752
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1073404752
- Entity type
- Individual (NPI-1)
- Name
- Jermaine Lamar Mountain
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2025
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 374U00000X | Home Health Aide | – | NE |
Practice location
4601 S 50th St Ste 213Omaha, NE 68117-1355
Phone 402-813-8270
Mailing address
4601 S 50th St Ste 213Omaha, NE 68117-1355
Phone 402-813-8270
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