Individual
TAMIKA ILENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 N 115TH ST STE 202, OMAHA, NE 68154-4419
(402) 359-1265
(402) 315-3517
Mailing address
1055 N 115TH ST STE 202, OMAHA, NE 68154-4419
(402) 359-1265
(402) 315-3517
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/30/2025
Last updated
08/07/2025
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