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DAMON E JACKSON
NPI 1396636411
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since July 15, 2025
1805 N 73RD ST, OMAHA, NE 68114(402) 557-8583 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Damon E Jackson NPPES

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

DAMON E JACKSON (NPI 1396636411) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Omaha, Nebraska and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1396636411
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameDAMON E JACKSON
Location Address1805 N 73RD STOmaha, NE 68114-1905
Mailing Address7719 Howell StOmaha, NE 68122-2059
Phone(402) 557-8583
Sole ProprietorYes
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1396636411 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 NPPES & CMS

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

What is Damon Jackson's NPI number?

The NPI number for Damon Jackson is 1396636411. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Where is Damon Jackson located?

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

What is Damon Jackson'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 Damon Jackson was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.