Healthcare Provider Details

I. General information

NPI: 1518764562
Provider Name (Legal Business Name): ELIZABETH GREGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N 3RD ST
CEDAR RAPIDS NE
68627-5040
US

IV. Provider business mailing address

PO BOX 284
CEDAR RAPIDS NE
68627-0284
US

V. Phone/Fax

Practice location:
  • Phone: 308-550-0484
  • Fax:
Mailing address:
  • Phone: 308-550-0484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNE

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: