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Eglan Ali

Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE

NPI 1104760966 · NPPES record last updated Apr 14, 2026

Key facts

NPI
1104760966
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 14, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

  • Developmental Disability Center of Iowa LLC Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Council Bluffs, IA · NPI 1588212179
    NPD (past) COMMUNITY BASED RESIDENTIAL TREATMENT FACILITY, INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITIES

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Disability Center of Iowa LLC Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities Past
since Sep 1, 2019		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

5102 N 166TH PLZ Apt B112
Omaha, NE 68116-3758

Other providers in Omaha, NE

All providers in Omaha, NE · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nebraska

Sources for this page

Verify at the official NPI Registry.