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Sheila A Sullivan

Technician, Attendant Care Provider in Omaha, NE. Individual provider (NPI-1).

NPI number1962393728
StatusActive
Last updated in NPPESJul 10, 2025

Details

NPI
1962393728
Entity type
Individual (NPI-1)
Name
Sheila A Sullivan
Sex
Female
Sole proprietor
No
Enumeration date
Jul 10, 2025
Certification date
Jul 10, 2025
Last updated
Jul 10, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes
372500000X Chore Provider––

Practice location

11306 Davenport St
Omaha, NE 68154-2630

Phone 402-884-1645

Mailing address

4526 Fowler Ave
Omaha, NE 68104-2464

Phone 720-940-7377

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Attendant Care Provider providers in Omaha, NE

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