Healthcare Provider Details

I. General information

NPI: 1629871934
Provider Name (Legal Business Name): MRS. SARAH M KUAG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8803 S 164TH ST
OMAHA NE
68136-1361
US

IV. Provider business mailing address

8803 S 164TH ST
OMAHA NE
68136-1361
US

V. Phone/Fax

Practice location:
  • Phone: 402-979-1518
  • Fax: 531-201-4505
Mailing address:
  • Phone: 402-979-1518
  • Fax: 531-201-4505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: