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Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
NPI Profile

NPI ProfileIndividual NPI Record22 fields Similar Nearby40 providers

MOHAMED BAGAH
NPI 1952109779
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

Active since March 06, 2025

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

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mohamed Bagah NPPES

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

MOHAMED BAGAH (NPI 1952109779) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Omaha, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1952109779

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameMOHAMED BAGAH

Location Address1805 N 73RD STOmaha, NE 68114-1905

Mailing Address10526 Ellison Plz Apt 12Omaha, NE 68134-1136

Phone(402) 557-8583

Sole ProprietorYes

Enumeration DateMarch 6, 2025

NPPES CertifiedMarch 6, 2025

✔ NPI 1952109779 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

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

YACOUBA SAWADOGO

Technician (Personal Care Attendant)

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

ANGELICA ERICA LINDA NICHOLSON

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

DIDIER KANGBENI

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (531) 232-3050

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

MR. LIONEL RAY AVANT

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 885-3456

ABDIMAHAD BURALE

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

AYAO MAWULOLO DOUKPO

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1805 N 73RD ST
OMAHA, NE 68114

Douglas County (402) 557-8583

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

What is Mohamed Bagah's NPI number?

The NPI number assigned to this healthcare provider is 1952109779, enumerated as an "individual" on March 06, 2025.

Where is the provider located?

The provider is located at 1805 N 73RD ST OMAHA, NE 68114 and the phone number is (402) 557-8583.

What is the provider's specialty?

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

Previous: 1952109761

Next: 1952109787

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NPI data updated July 19, 2026 • PECOS data updated July 17, 2026 • Updated weekly from official CMS public data

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