Healthcare Provider Details

I. General information

NPI: 1740116631
Provider Name (Legal Business Name): LAILA WEATHERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 AMES AVE # 7
OMAHA NE
68111-2759
US

IV. Provider business mailing address

3160 AMES AVE # 7
OMAHA NE
68111-2759
US

V. Phone/Fax

Practice location:
  • Phone: 402-850-9715
  • Fax: 402-850-9715
Mailing address:
  • Phone: 402-687-5475
  • Fax: 402-687-5475

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: