Healthcare Provider Details

I. General information

NPI: 1023933603
Provider Name (Legal Business Name): MAXWELL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 S 76TH ST
OMAHA NE
68114-4519
US

IV. Provider business mailing address

909 S 76TH ST
OMAHA NE
68114-4519
US

V. Phone/Fax

Practice location:
  • Phone: 402-390-2100
  • Fax:
Mailing address:
  • Phone: 402-390-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MAXWELL TITAN SCHEEF
Title or Position: SPECIAL EDUCATION ASSISTANT
Credential:
Phone: 492-609-0886