Healthcare Provider Details

I. General information

NPI: 1508657917
Provider Name (Legal Business Name): HYUNJOO ZUCK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13057 W CENTER RD STE 21
OMAHA NE
68144-3723
US

IV. Provider business mailing address

4206 N 147TH PLZ
OMAHA NE
68116-4564
US

V. Phone/Fax

Practice location:
  • Phone: 402-242-3368
  • Fax:
Mailing address:
  • Phone: 402-592-5459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: