Enu Mohammed Ahmed
Individual provider Active NPI Adult Companion · South Sioux City, NE
NPI 1104623768 · NPPES record last updated Feb 28, 2025
Key facts
- NPI
- 1104623768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 2100 C St
South Sioux City, NE 68776-3044 - Phone
- (206) 739-3204
- Fax
- (206) 739-3204
- NPI assigned
- Feb 28, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | NE | ||
| Adult Companion | 372600000X | NE | Yes |
Addresses
Primary practice location
2100 C St
South Sioux City, NE 68776-3044
Mailing address
2100 C St
South Sioux City, NE 68776-3044
Phone (206) 739-3204
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All providers in South Sioux City, NE · Adult Companion 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 28, 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.