Mohamed Bagah
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE
NPI 1952109779 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1952109779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Practice address
- 1805 N 73Rd St
Omaha, NE 68114-1905 - Phone
- (402) 557-8583
- NPI assigned
- Mar 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Disability Center of Iowa LLC | Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities | Current |
Accepting new patients |
Locations
1805 N 73rd St
Omaha, NE 68114
Phone (402) 575-8583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
1805 N 73Rd St
Omaha, NE 68114-1905
Mailing address
10526 Ellison PLZ Apt 12
Omaha, NE 68134-1136
Other providers in Omaha, NE
- Ian Baehr
- Terri L Baehr
- Ryan Lloyd Baer
- Rebecca Rose Baeza
- Ayat Bagadi
- Lamia Bagasrawala
- Minata Bagayoko
- Karen Bagniewski
- Kimberleigh Bagshaw
- Erin Lynn Bagwell
All providers in Omaha, NE · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.