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

Mr. Aweis Jeilani Mohamed

Individual provider Assisted Living Facility · NPI 1346089497

Mr. Aweis Jeilani Mohamed is an Assisted Living Facility in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

4610 N River Park Blvd
Glendale, WI 53209-6525
Phone: (614) 806-0618
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 0019889 (WI)

Record details

NPI number1346089497
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

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