PGFHGS HOLDINGS LLC NPI 1629884523

NPI Information

  • NPI: 1629884523
  • Provider Name: PGFHGS HOLDINGS LLC
  • Classification: Registered Nurse - 163WW0000X
  • Specialization: Wound Care
  • Entity Type: Organization
  • Address: 3506 S 201ST CIR
    OMAHA, NE
    ZIP 68130
  • Phone: (402) 681-4030

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NPI Details

PGFHGS HOLDINGS LLC is a wound care registered nurse in Omaha, NE. PGFHGS HOLDINGS LLC NPI is 1629884523. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3506 S 201ST CIR
OMAHA, NE
ZIP 68130-094
Phone: (402) 681-4030

The provider's authorized official is Gabriel Michael Sullivan .
The authorized official title is Ceo and has the following contact phone number (402) 681-4030.

The enumeration date for this NPI number is 12/5/2024 and was last updated on 10/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WW0000XRegistered NurseWound CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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