Provider Demographics
NPI:1023813375
Name:SANON, HELENE LARISSA
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:LARISSA
Last Name:SANON
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 1:319 S 17TH ST STE 405
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-2010
Mailing Address - Country:US
Mailing Address - Phone:402-208-9599
Mailing Address - Fax:
Practice Address - Street 1:319 S 17TH ST STE 405
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-2010
Practice Address - Country:US
Practice Address - Phone:402-208-9599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide