Healthcare Provider Details

I. General information

NPI: 1699689687
Provider Name (Legal Business Name): RUTH GRIMM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7749 TROPP RIDGE DR
LINCOLN NE
68512-9609
US

IV. Provider business mailing address

3416 NEERPARK DR
LINCOLN NE
68506-4527
US

V. Phone/Fax

Practice location:
  • Phone: 402-440-5258
  • Fax:
Mailing address:
  • Phone: 402-802-8784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: