Healthcare Provider Details

I. General information

NPI: 1548153232
Provider Name (Legal Business Name): CHERICE GREEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2025
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15806 CLAY PLZ APT 225
BENNINGTON NE
68007-5098
US

IV. Provider business mailing address

5102 NTH 166TH APT B216
OMAHA NE
68116
US

V. Phone/Fax

Practice location:
  • Phone: 402-415-6808
  • Fax:
Mailing address:
  • Phone: 402-214-9525
  • Fax: 402-214-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: