Healthcare Provider Details

I. General information

NPI: 1336071489
Provider Name (Legal Business Name): HAYLIEGH FAYTH HLADKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 N 3RD ST
DAVID CITY NE
68632-1449
US

IV. Provider business mailing address

623 N 3RD ST
DAVID CITY NE
68632-1449
US

V. Phone/Fax

Practice location:
  • Phone: 402-954-0685
  • Fax:
Mailing address:
  • Phone: 402-954-0685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: