Healthcare Provider Details

I. General information

NPI: 1588547038
Provider Name (Legal Business Name): MAGGIE SYLVIA KUTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 N BROADWELL AVE
GRAND ISLAND NE
68803-3055
US

IV. Provider business mailing address

1308 1/2 W 4TH ST
GRAND ISLAND NE
68801-4410
US

V. Phone/Fax

Practice location:
  • Phone: 308-383-8166
  • Fax:
Mailing address:
  • Phone: 308-663-3265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNE
# 4
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: