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ABDIAZIZ M SHUKRI
NPI 1255138111
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since February 27, 2025
5022 S 114TH ST, OMAHA, NE 68137(402) 630-0018 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abdiaziz M Shukri NPPES

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

ABDIAZIZ M SHUKRI (NPI 1255138111) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Omaha, Nebraska and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1255138111
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameABDIAZIZ M SHUKRI
Location Address5022 S 114TH STOmaha, NE 68137-2329
Mailing Address5022 S 114th StOmaha, NE 68137-2329 · (402) 630-0018
Phone(402) 630-0018
Sole ProprietorYes
Enumeration DateFebruary 27, 2025
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1255138111 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.
5022 S 114TH ST, Omaha, NE 68137
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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.

JAMES BANKHEAD
Day Training/Habilitation Specialist
5022 S 114TH ST
OMAHA, NE 68137
Douglas County (402) 630-0018
ELLEN MARIE FOSTER
Adult Companion
5022 S 114TH ST
OMAHA, NE 68137
Douglas County (402) 827-7652
PALINGUEWENDE ZIDA
Day Training/Habilitation Specialist
5022 S 114TH ST
OMAHA, NE 68137
Douglas County (402) 630-0018
SAMANTHA ANN HORSWILL
Day Training/Habilitation Specialist
5022 S 114TH ST
OMAHA, NE 68137
Douglas County (402) 630-0018
BAILEY RAYE REDWINE
Day Training/Habilitation Specialist
5022 S 114TH ST
OMAHA, NE 68137
Douglas County (402) 827-7652
TARA MORTON
Day Training/Habilitation Specialist
5022 S 114TH ST
OMAHA, NE 68137
Douglas County (402) 630-0018
YAO DEGBE
Day Training/Habilitation Specialist
5022 S 114TH ST
OMAHA, NE 68137
Douglas County (402) 630-0018
TEONA LEWIS
Day Training/Habilitation Specialist
5022 S 114TH ST
OMAHA, NE 68137
Douglas County (402) 827-7652

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 Abdiaziz Shukri's NPI number?

The NPI number for Abdiaziz Shukri is 1255138111. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Where is Abdiaziz Shukri located?

Abdiaziz Shukri practices at 5022 S 114th St, Omaha, NE 68137. The listed phone number is (402) 630-0018.

What is Abdiaziz Shukri'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 Abdiaziz Shukri was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.