Provider Demographics
NPI:1124831508
Name:PASKACH, CAROL D
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:D
Last Name:PASKACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 LEIGH LN
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-3361
Mailing Address - Country:US
Mailing Address - Phone:402-680-4977
Mailing Address - Fax:
Practice Address - Street 1:14305 S 21ST ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-4744
Practice Address - Country:US
Practice Address - Phone:402-680-4977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker