CHISSA SHEPPARD
NPI 1811702194
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since February 12, 2025
6806 RAYMOND AVE, OMAHA, NE 68104(817) 716-6442 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chissa Sheppard NPPES

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

CHISSA SHEPPARD (NPI 1811702194) 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

NPI1811702194
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameCHISSA SHEPPARD
Location Address6806 RAYMOND AVEOmaha, NE 68104-1070
Mailing Address6806 Raymond AveOmaha, NE 68104-1070 · (817) 716-6442
Sole ProprietorYes
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
NPI 1811702194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

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

6806 RAYMOND AVE, Omaha, NE 68104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811702194, enumerated as an "individual" on February 12, 2025.

The provider is located at 6806 RAYMOND AVE OMAHA, NE 68104 and the phone number is (817) 716-6442.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.