Healthcare Provider Details

I. General information

NPI: 1417880261
Provider Name (Legal Business Name): TRISHAANN MARIE PEREZ MACHADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 JONES ST STE 211
OMAHA NE
68102-3218
US

IV. Provider business mailing address

1402 JONES ST STE 211
OMAHA NE
68102-3218
US

V. Phone/Fax

Practice location:
  • Phone: 402-800-7759
  • Fax:
Mailing address:
  • Phone: 402-800-7759
  • Fax: 402-383-7166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: