Active NPI
Nouradine Yaya
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Omaha, NE
National Provider Identifier
1255244927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Practice address
- 1805 N 73Rd St
Omaha, NE 68114-1905 - Phone
- (402) 557-8583
- NPI assigned
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1805 N 73Rd St
Omaha, NE 68114-1905
Mailing address
202 Makayla Ave
Grand Island, NE 68803-4562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1255244927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 MAKAYLA AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 N 73RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141905",
"telephone_number": "402-557-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAYA",
"first_name": "NOURADINE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.