Healthcare Provider Details

I. General information

NPI: 1568397206
Provider Name (Legal Business Name): JANETTE MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7905 L ST STE 420
OMAHA NE
68127-1732
US

IV. Provider business mailing address

7905 L ST STE 420
OMAHA NE
68127-1732
US

V. Phone/Fax

Practice location:
  • Phone: 402-515-2654
  • Fax: 531-242-4420
Mailing address:
  • Phone: 402-515-2654
  • Fax: 531-242-4420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: