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RACHIDI FRAISE ADEDOKOUN
NPI 1902295827
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since January 15, 2015
4017 GREENE AVE, OMAHA, NE 68147(402) 686-6974 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rachidi Fraise Adedokoun NPPES

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

RACHIDI FRAISE ADEDOKOUN (NPI 1902295827) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Omaha, Nebraska and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1902295827
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameRACHIDI FRAISE ADEDOKOUN
Location Address4017 GREENE AVEOmaha, NE 68147-1819
Mailing Address4017 Greene AveOmaha, NE 68147-1819 · (402) 686-6974
Phone(402) 686-6974
Sole ProprietorYes
Enumeration DateJanuary 15, 2015
✔ NPI 1902295827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
4017 GREENE AVE, Omaha, NE 68147
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Other Names 1

Former Name (1)Rachidi Adedokoun

Other Providers at the Same Location NPPES

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

DEVELOPMENTAL DISABILITY CENTER OF NEBRASKA
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4017 GREENE AVE
OMAHA, NE 68147
Sarpy County (402) 686-6974

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 Rachidi Adedokoun's NPI number?

The NPI number for Rachidi Adedokoun is 1902295827. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is Rachidi Adedokoun located?

Rachidi Adedokoun practices at 4017 Greene Ave, Omaha, NE 68147. The listed phone number is (402) 686-6974.

What is Rachidi Adedokoun'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 Rachidi Adedokoun was last updated on January 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.