MEDICARE: JANIXA MARTINEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	3747P1801X	Personal Care Attendant
3	372600000X	Adult Companion

General Provider Information

NPI Number	:	1447045091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANIXA MARTINEZ

Provider Business Mailing Address
First Line	:	2517 BRAHMA ST
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-7613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2517 BRAHMA ST
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-7613
Country	:	US
Telephone Number	:	308-440-7469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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Directions to “ JANIXA MARTINEZ ” Practice Location

Language	Start Address	Practice Location

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