Healthcare Provider Details

I. General information

NPI: 1093337610
Provider Name (Legal Business Name): RUBANGO INTERNATIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 HARNEY ST STE 714
OMAHA NE
68102-2314
US

IV. Provider business mailing address

1905 HARNEY ST STE 714
OMAHA NE
68102-2314
US

V. Phone/Fax

Practice location:
  • Phone: 402-249-4790
  • Fax:
Mailing address:
  • Phone: 402-249-4790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. KANI-NSIMIRE RUBANGO
Title or Position: OWNER, LMSW, LIMHP
Credential: MS, LMSW, LIMHP
Phone: 402-249-4790