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BETHANY JOHNSON
NPI 1235927963
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since April 30, 2025
1805 N 73RD ST, OMAHA, NE 68114(402) 557-8583 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bethany Johnson NPPES

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

BETHANY JOHNSON (NPI 1235927963) 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

NPI1235927963
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameBETHANY JOHNSON
Location Address1805 N 73RD STOmaha, NE 68114-1905
Mailing Address1805 N 73rd StOmaha, NE 68114-1905 · (402) 557-8583
Phone(402) 557-8583
Sole ProprietorYes
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1235927963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
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
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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.

CLARENCE OLIVER WHITNER III
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Douglas County (402) 557-8583
OSMAN ALIOMAR
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Douglas County (402) 557-8583
MOHAMED BAGAH
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Douglas County (402) 557-8583
MOHAMMED HASSAN ABDI
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Douglas County (402) 557-8583
LALAICHA HELENE ILBOUDO
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Douglas County (402) 557-8583
ABDULLAHI HASSAN
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Douglas County (402) 557-8583
ADNAN HIRSI MOHAMED
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Douglas County (402) 557-8583
ABDULLAHI H KHALIF
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1805 N 73RD ST
OMAHA, NE 68114
Douglas County (402) 557-8583

Frequently Asked Questions

What is Bethany Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1235927963, enumerated as an "individual" on April 30, 2025.

Where is the provider located?

The provider is located at 1805 N 73RD ST OMAHA, NE 68114 and the phone number is (402) 557-8583.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.