Provider Demographics
NPI:1316822141
Name:MILLER, RODNEY DEWAYNE
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:DEWAYNE
Last Name:MILLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 S 187TH PLZ APT 205
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-3010
Mailing Address - Country:US
Mailing Address - Phone:402-806-9446
Mailing Address - Fax:
Practice Address - Street 1:14856 SHIRLEY ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2063
Practice Address - Country:US
Practice Address - Phone:402-676-9976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No385H00000XRespite Care FacilityRespite Care