Healthcare Provider Details

I. General information

NPI: 1003738543
Provider Name (Legal Business Name): MS. LEANDRA ESCOBEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15012 WYCLIFFE DR APT 17
OMAHA NE
68154-4306
US

IV. Provider business mailing address

15012 WYCLIFFE DR APT 17
OMAHA NE
68154-4306
US

V. Phone/Fax

Practice location:
  • Phone: 951-632-9551
  • Fax:
Mailing address:
  • Phone: 951-632-9551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: