ANGELO M OUEDRAOGO
NPI 1063200087
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since April 29, 2025
1805 N 73RD ST, OMAHA, NE 68114(402) 557-8583 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angelo M Ouedraogo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELO M OUEDRAOGO (NPI 1063200087) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Omaha, Nebraska and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063200087
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameANGELO M OUEDRAOGO
Location Address1805 N 73RD STOmaha, NE 68114-1905
Mailing Address14467 Sprague Ct Apt 205Omaha, NE 68116-6007
Sole ProprietorYes
Enumeration DateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1063200087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1805 N 73RD ST, Omaha, NE 68114

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelo Ouedraogo's NPI number?

The NPI number for Angelo Ouedraogo is 1063200087. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Angelo Ouedraogo located?

Angelo Ouedraogo practices at 1805 N 73rd St, Omaha, NE 68114. The listed phone number is (402) 557-8583.

What is Angelo Ouedraogo's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Angelo Ouedraogo was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.