Healthcare Provider Details

I. General information

NPI: 1114852209
Provider Name (Legal Business Name): KABAS H SUBHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 CORNHUSKER HWY STE 2
LINCOLN NE
68504-1644
US

IV. Provider business mailing address

4500 CORNHUSKER HWY STE 2
LINCOLN NE
68504-1644
US

V. Phone/Fax

Practice location:
  • Phone: 402-202-8087
  • Fax: 402-202-8087
Mailing address:
  • Phone: 402-202-8087
  • Fax: 402-202-8087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: