Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor Gresham

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1679362354

Taylor Gresham is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1402 N 104th Plz Apt 16
Omaha, NE 68114-1146
Phone: (531) 247-0869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1679362354
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address1402 N 104th Plz Apt 16, Omaha, NE 68114-1146

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