Healthcare Provider Details

I. General information

NPI: 1558157172
Provider Name (Legal Business Name): SARAH KUPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH GUESS

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 W 3RD ST
MC COOK NE
69001-2531
US

IV. Provider business mailing address

1209 W 3RD ST
MC COOK NE
69001-2531
US

V. Phone/Fax

Practice location:
  • Phone: 308-737-6285
  • Fax:
Mailing address:
  • Phone: 308-737-6285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: