Provider Demographics
NPI:1518772110
Name:GAINFORTH, TORI K
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:K
Last Name:GAINFORTH
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 1:224 N BIRCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-5419
Mailing Address - Country:US
Mailing Address - Phone:402-909-2476
Mailing Address - Fax:
Practice Address - Street 1:224 N BIRCHWOOD DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-5419
Practice Address - Country:US
Practice Address - Phone:402-909-2476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion