Healthcare Provider Details

I. General information

NPI: 1831002047
Provider Name (Legal Business Name): TAI HUU VUONG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 S DENVER AVE
HASTINGS NE
68901-6906
US

IV. Provider business mailing address

919 S DENVER AVE
HASTINGS NE
68901-6906
US

V. Phone/Fax

Practice location:
  • Phone: 402-469-9979
  • Fax:
Mailing address:
  • Phone: 402-469-9979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number14-V153
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: