Healthcare Provider Details

I. General information

NPI: 1922963438
Provider Name (Legal Business Name): PERSONAL HOMECARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5351 N 30TH ST
OMAHA NE
68111-1609
US

IV. Provider business mailing address

5351 N 30TH ST
OMAHA NE
68111-1609
US

V. Phone/Fax

Practice location:
  • Phone: 402-639-3151
  • Fax: 402-455-7173
Mailing address:
  • Phone: 402-639-3151
  • Fax: 402-455-7173

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: MR. DAVID LYNN MCCASKILL SR.
Title or Position: PRESIDENT
Credential:
Phone: 402-639-3151