Healthcare Provider Details

I. General information

NPI: 1598559734
Provider Name (Legal Business Name): HELENA KEGLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 STEVENS RIDGE RD
LINCOLN NE
68516-3775
US

IV. Provider business mailing address

16620 CASTELAR ST
OMAHA NE
68130-1557
US

V. Phone/Fax

Practice location:
  • Phone: 402-525-2900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: