Provider Demographics
NPI:1003239617
Name:PERSONAL HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:PERSONAL HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SCHMUECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-916-0286
Mailing Address - Street 1:11319 P ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-6302
Mailing Address - Country:US
Mailing Address - Phone:402-438-5694
Mailing Address - Fax:402-216-0906
Practice Address - Street 1:11319 P ST STE 2B
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-6302
Practice Address - Country:US
Practice Address - Phone:402-916-0286
Practice Address - Fax:402-216-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA201309251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health