Provider Demographics
NPI:1497562359
Name:AIKENS, ROCHELLE MARIE
Entity type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:MARIE
Last Name:AIKENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 THURSTON AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-2475
Mailing Address - Country:US
Mailing Address - Phone:402-740-7360
Mailing Address - Fax:
Practice Address - Street 1:1106 THURSTON AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-2475
Practice Address - Country:US
Practice Address - Phone:402-740-7360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-14
Last Update Date:2024-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No372600000XNursing Service Related ProvidersAdult Companion