Individual provider Active NPI

Kellim Diallo

  • Personal Care Attendant
  • Omaha, NE
National Provider Identifier
1295535029
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
14210 Arbor St Ste a
Omaha, NE 68144-2382
Phone
(531) 999-1133
NPI assigned
Mar 19, 2025
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Homemaker 376J00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

14210 Arbor St Ste a
Omaha, NE 68144-2382

Mailing address

14210 Arbor St Ste a
Omaha, NE 68144-2382
Phone (315) 999-1133

Other practice location 1

6123 N 76th Cir
Omaha, NE 68134-2170
Phone (402) 575-8955

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Services and Consulting LLC CurrentSince May 11, 2025 Accepting new patients

Locations

14210 Arbor St
Ste A
Omaha, NE 68144
Phone (531) 999-1133

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1295535029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 ARBOR ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442382",
            "telephone_number": "315-999-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 ARBOR ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442382",
            "telephone_number": "531-999-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6123 N 76th Cir",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681342170",
            "country_code": "US",
            "telephone_number": "402-575-8955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIALLO",
        "first_name": "KELLIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "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 May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.