Healthcare Provider Details

I. General information

NPI: 1225915499
Provider Name (Legal Business Name): SIMAR PUK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 S 84TH ST STE 19
LA VISTA NE
68128-2118
US

IV. Provider business mailing address

7200 S 84TH ST STE 19
LA VISTA NE
68128-2118
US

V. Phone/Fax

Practice location:
  • Phone: 402-880-2551
  • Fax:
Mailing address:
  • Phone: 402-880-2551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: