Provider Demographics
NPI:1548058134
Name:ALIBRAHEEMI, ABBAS KADHIM MOHAMMED
Entity type:Individual
Prefix:
First Name:ABBAS
Middle Name:KADHIM MOHAMMED
Last Name:ALIBRAHEEMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15826 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-3175
Mailing Address - Country:US
Mailing Address - Phone:712-314-0072
Mailing Address - Fax:
Practice Address - Street 1:15826 WILLOW ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-3175
Practice Address - Country:US
Practice Address - Phone:712-314-0072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant