NPI 1063367902 · live from the CMS NPI Registry
Mohammed Ibrahim Abdulrahman
Home Health Aide in Elkhorn, NE. National Provider Identifier 1063367902, active.
NPI record
| NPI | 1063367902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Home Health Aide 374U00000X |
| Practice location | 3306 N 190th Plz, Elkhorn, NE 68022 |
| Practice phone | 402-403-6153 |
| Mailing address | 9123 Meredith Ave, Omaha, NE 68134 |
| Enumerated | March 4, 2026 |
| Last updated | March 4, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide primary | 374U00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.