Active NPI
Mohammed Ahed Khalil Mousa
- Home Health Aide
- Omaha, NE
National Provider Identifier
1578453031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 854 S 92ND Ave Apt 129
Omaha, NE 68114-5140 - Phone
- (531) 232-5006
- NPI assigned
- Jul 7, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
854 S 92ND Ave Apt 129
Omaha, NE 68114-5140
Mailing address
854 S 92ND Ave
Omaha, NE 68114-5140
Other practice location 1
854 S 92nd Ave
Omaha, NE 68114-5140
Phone (402) 282-1777
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1578453031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 S 92ND AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681145140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 S 92ND AVE APT 129",
"city": "OMAHA",
"state": "NE",
"postal_code": "681145140",
"telephone_number": "531-232-5006"
}
],
"practiceLocations": [
{
"address_1": "854 S 92nd Ave",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681145140",
"country_code": "US",
"telephone_number": "402-282-1777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUSA",
"first_name": "MOHAMMED",
"middle_name": "AHED KHALIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"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 Jul 7, 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.