Healthcare Provider Details

I. General information

NPI: 1942626452
Provider Name (Legal Business Name): AKKASE-OMAHA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2014
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N 49TH ST SUITE 208
OMAHA NE
68132-3172
US

IV. Provider business mailing address

108 N 49TH ST SUITE 208
OMAHA NE
68132-3172
US

V. Phone/Fax

Practice location:
  • Phone: 402-359-1265
  • Fax: 402-315-3517
Mailing address:
  • Phone: 402-359-1265
  • Fax: 402-315-3517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMUD MOHAMED ABDULLE
Title or Position: MANAGING MEMBER
Credential:
Phone: 402-830-4553