Provider Demographics
NPI:1134913783
Name:REGALADO, ISAIAH MAXAMINO
Entity type:Individual
Prefix:
First Name:ISAIAH
Middle Name:MAXAMINO
Last Name:REGALADO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8655 S PLZ APT 8
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-4811
Mailing Address - Country:US
Mailing Address - Phone:806-690-1930
Mailing Address - Fax:
Practice Address - Street 1:1425 N AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-3023
Practice Address - Country:US
Practice Address - Phone:806-690-1930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant