KOFFI NYUIEMEDI ATIVON
NPI 1417746165
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Q: What is Koffi Ativon's NPI number?

The NPI number for Koffi Ativon is 1417746165. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Q: What is Koffi Ativon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Koffi Ativon was last updated on April 30, 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.

Active since April 30, 2025

2990 S 93RD PLZ APT 62, OMAHA, NE 68124(402) 618-5006 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Koffi Nyuiemedi Ativon NPPES

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

KOFFI NYUIEMEDI ATIVON (NPI 1417746165) 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

NPI1417746165

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameKOFFI NYUIEMEDI ATIVON

Location Address2990 S 93RD PLZ APT 62Omaha, NE 68124-2832

Mailing Address2990 S 93rd Plz Apt 62Omaha, NE 68124-2832 · (402) 618-5006

Phone(402) 618-5006

Sole ProprietorYes

Enumeration DateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1417746165 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.

2990 S 93RD PLZ APT 62, Omaha, NE 68124

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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 Koffi Ativon's NPI number?

The NPI number for Koffi Ativon is 1417746165. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Koffi Ativon located?

Koffi Ativon practices at 2990 S 93rd Plz Apt 62, Omaha, NE 68124. The listed phone number is (402) 618-5006.

What is Koffi Ativon'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 Koffi Ativon was last updated on April 30, 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.