MR. AWEIS JEILANI MOHAMED
NPI 1346089497
Assisted Living Facility in Glendale, WI

Active since May 20, 2024
4610 N RIVER PARK BLVD, GLENDALE, WI 53209(614) 806-0618 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Aweis Jeilani Mohamed NPPES

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

MR. AWEIS JEILANI MOHAMED (NPI 1346089497) is an individual assisted living facility provider in Glendale, Wisconsin, licensed in Wisconsin (0019889) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1346089497
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameMR. AWEIS JEILANI MOHAMED
Location Address4610 N RIVER PARK BLVDGlendale, WI 53209-6525
Mailing Address4610 N River Park BlvdGlendale, WI 53209-6525 · (614) 806-0618
Sole ProprietorYes
Enumeration DateMay 20, 2024
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 30, 2024
NPI 1346089497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in WI · 0019889
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4610 N RIVER PARK BLVD, Glendale, WI 53209

Other Providers at the Same Location NPPES

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

Assisted Living Facility
4610 N RIVER PARK BLVD
GLENDALE, WI 53209

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 Aweis Mohamed's NPI number?

The NPI number for Aweis Mohamed is 1346089497. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Aweis Mohamed located?

Aweis Mohamed practices at 4610 N River Park Blvd, Glendale, WI 53209. The listed phone number is (614) 806-0618.

What is Aweis Mohamed's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Aweis Mohamed was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.