Provider Demographics
NPI:1821801770
Name:LINDHORST, CYNTHIA MARIE
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MARIE
Last Name:LINDHORST
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 1:103 ASH ST
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:NE
Mailing Address - Zip Code:68644-6124
Mailing Address - Country:US
Mailing Address - Phone:402-428-5123
Mailing Address - Fax:
Practice Address - Street 1:103 ASH ST
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:NE
Practice Address - Zip Code:68644-6124
Practice Address - Country:US
Practice Address - Phone:402-920-0840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE90814758385HR2060X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child