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NPI Code Detail

MEDICARE: LATRISHA HACKETT

MEDICARE: LATRISHA HACKETT
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1790631976
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATRISHA HACKETT
Provider Business Mailing Address
First Line : 1818 MAYFIELD AVE
Second Line :
City : OMAHA
State : NE
Zip : 68104-4652
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1820 HILLCREST DR
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-3636
Country : US
Telephone Number : 402-682-6599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ LATRISHA HACKETT ” Practice Location

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