MALIYA KERAE'A GRESHAM
NPI 1477356434
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Q: What is Maliya Gresham's NPI number?

The NPI number for Maliya Gresham is 1477356434. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Q: What is Maliya Gresham'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 Maliya Gresham was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 27, 2025

3939 LAUREL AVE, OMAHA, NE 68111(402) 215-9616 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maliya Kerae'a Gresham NPPES

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

MALIYA KERAE'A GRESHAM (NPI 1477356434) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Omaha, Nebraska, licensed in Nebraska (H14144715) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1477356434

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameMALIYA KERAE'A GRESHAM

Location Address3939 LAUREL AVEOmaha, NE 68111-1153

Mailing Address3939 Laurel AveOmaha, NE 68111-1153 · (402) 215-9616

Phone(402) 215-9616

Sole ProprietorYes

Enumeration DateMarch 27, 2025

NPPES CertifiedMarch 27, 2025

✔ NPI 1477356434 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

License✔ Licensed in NE · H14144715

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

3939 LAUREL AVE, Omaha, NE 68111

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Other Providers at the Same Location NPPES

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

MONIQUE BRIGGS

Nurse's Aide

3939 LAUREL AVE
OMAHA, NE 68111

Douglas County (402) 812-3132

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 Maliya Gresham's NPI number?

The NPI number for Maliya Gresham is 1477356434. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Maliya Gresham located?

Maliya Gresham practices at 3939 Laurel Ave, Omaha, NE 68111. The listed phone number is (402) 215-9616.

What is Maliya Gresham'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 Maliya Gresham was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.