Provider Demographics
NPI:1861291544
Name:RIYA IN-HOME CARE
Entity type:Organization
Organization Name:RIYA IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANISA
Authorized Official - Middle Name:DIBAD
Authorized Official - Last Name:ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-206-4040
Mailing Address - Street 1:2239 POPPLETON AVE APT 107
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-3437
Mailing Address - Country:US
Mailing Address - Phone:402-206-4040
Mailing Address - Fax:
Practice Address - Street 1:2239 POPPLETON AVE APT 107
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-3437
Practice Address - Country:US
Practice Address - Phone:402-206-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health