Muhiadin Awale
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE
NPI 1053100784 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1053100784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Practice address
- 1805 N 73Rd St
Omaha, NE 68114-1905 - Phone
- (402) 557-8583
- NPI assigned
- Apr 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Disability Center of Iowa LLC | Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities | Current |
Accepting new patients |
Locations
1805 N 73rd St
Omaha, NE 68114
Phone (402) 575-8583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
1805 N 73Rd St
Omaha, NE 68114-1905
Mailing address
1421 N 104TH PLZ
Omaha, NE 68114-1163
Phone (312) 438-8087
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All providers in Omaha, NE · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.