Active NPI
Ayele Bamgbose
- Adult Companion
- Lincoln, NE
National Provider Identifier
1366248114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 3883 Normal Blvd Ste 206
Lincoln, NE 68506-5218 - Phone
- (402) 488-4421
- Fax
- (402) 904-4124
- NPI assigned
- Feb 21, 2025
- Last updated
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | NU | ||
| Adult Companion | 372600000X | NU | Primary | |
| Personal Care Attendant | 3747P1801X | NU |
Addresses
Primary practice location
3883 Normal Blvd Ste 206
Lincoln, NE 68506-5218
Mailing address
1201 S 49TH St
Lincoln, NE 68510-4902
Phone (402) 805-0020
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raouf LLC | Past | Accepting new patients |
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": "1740096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1366248114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S 49TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104902",
"telephone_number": "402-805-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 NORMAL BLVD STE 206",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065218",
"telephone_number": "402-488-4421",
"fax_number": "402-904-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMGBOSE",
"first_name": "AYELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-21",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.