Provider Demographics
NPI:1245129675
Name:SAUNSOCI, HATIMAH
Entity type:Individual
Prefix:
First Name:HATIMAH
Middle Name:
Last Name:SAUNSOCI
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 1:3111 S 15TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-2004
Mailing Address - Country:US
Mailing Address - Phone:402-510-1112
Mailing Address - Fax:
Practice Address - Street 1:3111 S 15TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-2004
Practice Address - Country:US
Practice Address - Phone:402-510-1112
Practice Address - Fax:402-510-1112
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372500000X, 374U00000X
NE71269376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372500000XNursing Service Related ProvidersChore Provider
No374U00000XNursing Service Related ProvidersHome Health Aide