Provider Demographics
NPI:1538043229
Name:HORNE, SHARLEEKA CHARNELL (3747P1801X)
Entity type:Individual
Prefix:
First Name:SHARLEEKA
Middle Name:CHARNELL
Last Name:HORNE
Suffix:
Gender:F
Credentials:3747P1801X
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6228 NEBRASKA AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1135
Mailing Address - Country:US
Mailing Address - Phone:402-510-7753
Mailing Address - Fax:
Practice Address - Street 1:6363 GROVER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-4321
Practice Address - Country:US
Practice Address - Phone:402-510-7753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant