Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENESHA REGINA GREEN
Active Sole ProprietorRENESHA REGINA GREEN is a Behavioral Health, Residential healthcare provider located in OMAHA, Nebraska. NPI 1366249104 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · OMAHA, NE
Registration Details
- NPI Number
- 1366249104
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2025 (1.501795776629 yrs)
- Last Updated
- Feb 28, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
11340 BLONDO STOMAHA, NE, 681643815Browse NE providers · Browse ZIP 68164
- Phone
- 4028895686
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| NICOLE MCCARTHY | LPN | 1205369717 |
| MR. DONALD RAY DURANT JR. | PLADC | 1043725575 |
| ALEXANDRA FRAZIER | — | 1528824448 |
| DANA SUE DORAN | — | 1154135432 |
| DARRA BOETEL | MA | 1023823259 |
| LAKEISHA MURRY | — | 1861297418 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.