Healthcare Provider Details

I. General information

NPI: 1063335768
Provider Name (Legal Business Name): PAYTON SKURKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8314 BOYD ST
OMAHA NE
68134-4224
US

IV. Provider business mailing address

8314 BOYD ST
OMAHA NE
68134-4224
US

V. Phone/Fax

Practice location:
  • Phone: 531-299-1140
  • Fax:
Mailing address:
  • Phone: 531-299-1140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: