Healthcare Provider Details

I. General information

NPI: 1619893401
Provider Name (Legal Business Name): SAQUAIA MCDAVID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3931 N 91ST ST
OMAHA NE
68134-4005
US

IV. Provider business mailing address

3931 N 91ST ST
OMAHA NE
68134-4005
US

V. Phone/Fax

Practice location:
  • Phone: 402-953-3218
  • Fax:
Mailing address:
  • Phone: 402-953-3218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number89811
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: