Active NPI
Sourou Midodjiho
- Personal Care Attendant
- Bellevue, NE
National Provider Identifier
1700799129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 4012 Raynor Pkwy Apt 125
Bellevue, NE 68123-6127 - Phone
- (402) 612-2547
- NPI assigned
- Sep 25, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
4012 Raynor Pkwy Apt 125
Bellevue, NE 68123-6127
Mailing address
4012 Raynor Pkwy Apt 125
Bellevue, NE 68123-6127
Phone (402) 612-2547
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": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1700799129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 RAYNOR PKWY APT 125",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681236127",
"telephone_number": "402-612-2547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 RAYNOR PKWY APT 125",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681236127",
"telephone_number": "402-612-2547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDODJIHO",
"first_name": "SOUROU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
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- Midwife's Place, LLC (The Midwife's Place)
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.