Healthcare Provider Details

I. General information

NPI: 1508797499
Provider Name (Legal Business Name): ZACHARY THOMAS INGRACIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 E 56TH ST APT 15
KEARNEY NE
68847-4814
US

IV. Provider business mailing address

8100 DEVOE CT
LINCOLN NE
68506-3186
US

V. Phone/Fax

Practice location:
  • Phone: 308-379-7280
  • Fax: 308-382-9255
Mailing address:
  • Phone: 308-379-7280
  • Fax: 308-382-9255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: