Provider Demographics
NPI:1952115677
Name:CAMEL, TAKEVIA D'CHELLE
Entity type:Individual
Prefix:
First Name:TAKEVIA
Middle Name:D'CHELLE
Last Name:CAMEL
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 1:11314 ELM ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4733
Mailing Address - Country:US
Mailing Address - Phone:402-981-8593
Mailing Address - Fax:
Practice Address - Street 1:3031 BLONDO ST APT 125
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-4184
Practice Address - Country:US
Practice Address - Phone:402-871-1856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide