Koffi Dometo Aboki
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE
NPI 1073328340 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1073328340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Practice address
- 7713 N 109TH St
Omaha, NE 68142-1161 - Phone
- (402) 813-1848
- NPI assigned
- Feb 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
7713 N 109TH St
Omaha, NE 68142-1161
Mailing address
7713 N 109TH St
Omaha, NE 68142-1161
Other providers in Omaha, NE
- Melissa Loseke Ablett
- Abm Wellness & Counseling LLC
- Corrina Abney
- Gabin Abobi
- Ahmed Salah Ahmed Aboeata
- Julie E Abold
- Adjovi Abolo
- Janella Abosi
- Nene Abosi
- Sahar Abou Ltaif
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 Feb 12, 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.