Healthcare Provider Details

I. General information

NPI: 1073441507
Provider Name (Legal Business Name): TEARREA J ROSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6544 N 34TH ST
OMAHA NE
68112-3024
US

IV. Provider business mailing address

3712 N 19TH ST
OMAHA NE
68110-1714
US

V. Phone/Fax

Practice location:
  • Phone: 531-284-6210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: