Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abdirisaq Yusuf Mohamed

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1386433803

Abdirisaq Yusuf Mohamed is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1503 N 104th Plz
Omaha, NE 68114-1103
Phone: (531) 772-1207
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence H13989145 (NE)

Record details

NPI number1386433803
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Other providers in Omaha