Healthcare Provider Details

I. General information

NPI: 1154030625
Provider Name (Legal Business Name): PERSONAL MED CHECK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 11/23/2022
Certification Date: 11/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 S 200TH AVE
OMAHA NE
68130-2807
US

IV. Provider business mailing address

1225 S 200TH AVE
OMAHA NE
68130-2807
US

V. Phone/Fax

Practice location:
  • Phone: 402-885-6700
  • Fax:
Mailing address:
  • Phone: 402-885-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KRISTI OAKEY
Title or Position: OWNER
Credential:
Phone: 402-708-0599