Healthcare Provider Details

I. General information

NPI: 1114838570
Provider Name (Legal Business Name): ALICIA SAAVEDRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13939 GOLD CIR LOWR LEVEL
OMAHA NE
68144-2310
US

IV. Provider business mailing address

4631 LARIMORE AVE
OMAHA NE
68104-2449
US

V. Phone/Fax

Practice location:
  • Phone: 402-982-9254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: