MEDICARE: ANA M MEDINA ESPINOZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1578499455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA M MEDINA ESPINOZA

Provider Business Mailing Address
First Line	:	PO BOX 641936
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-7936
Country	:	US
Telephone Number	:	402-850-6720
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 BLAINE ST
Second Line	:
City	:	HOLDREGE
State	:	NE
Zip	:	68949-2135
Country	:	US
Telephone Number	:	308-999-7130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “ ANA M MEDINA ESPINOZA ” Practice Location

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