Provider Demographics
NPI:1518779099
Name:BEHRENDS, DENISE K
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:K
Last Name:BEHRENDS
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 1:1019 THEATRE DR APT 100
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-8454
Mailing Address - Country:US
Mailing Address - Phone:402-984-8003
Mailing Address - Fax:
Practice Address - Street 1:1019 THEATRE DR APT 100
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-8454
Practice Address - Country:US
Practice Address - Phone:402-984-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child