MEDICARE: WIZDOM BELGRAVE

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	376K00000X	Nurse's Aide		NE

General Provider Information

NPI Number	:	1669274114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WIZDOM BELGRAVE

Provider Business Mailing Address
First Line	:	3488 GRANT ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68111-3641
Country	:	US
Telephone Number	:	402-880-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3488 GRANT ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68111-3641
Country	:	US
Telephone Number	:	402-880-9100
Fax Number	:

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

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/26/2025

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1053101469 — SHEMICKA L MOORE
Practice Location Address:

3488 GRANT ST
OMAHA, NE
68111-3641

Practice Phone: 402-880-9100
Practice Fax:

1205718566 — DEBRA JONES
Practice Location Address:

3488 GRANT ST
OMAHA, NE
68111-3641

Practice Phone: 402-880-9100
Practice Fax:

1063376366 — SHAWANA TAYLOR
Practice Location Address:

3331 N 106TH PLZ APT 1205
OMAHA, NE
68134-3641

Practice Phone: 720-322-5370
Practice Fax:

1538022330 — HSA PREE
Practice Location Address:

2400 N 34TH AVE APT 58
OMAHA, NE
68111-3633

Practice Phone: 402-457-9522
Practice Fax:

1437012176 — ALONZO SULLIVAN
Practice Location Address:

3160 AMES AVE # 7
OMAHA, NE
68111-2759

Practice Phone: 402-850-9715
Practice Fax:

Directions to “ WIZDOM BELGRAVE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.