MEDICARE: FATMA ADAM ABKAR MOHAMED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1730047044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FATMA ADAM ABKAR MOHAMED

Provider Business Mailing Address
First Line	:	105 N 115TH STREET SUITE 202
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11309 ELLISON AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-1525
Country	:	US
Telephone Number	:	612-806-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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