Provider Demographics
NPI:1942626452
Name:AKKASE-OMAHA, LLC
Entity Type:Organization
Organization Name:AKKASE-OMAHA, LLC
Other - Org Name:AKKASE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMUD
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ABDULLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-830-4553
Mailing Address - Street 1:108 N 49TH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-3172
Mailing Address - Country:US
Mailing Address - Phone:402-359-1265
Mailing Address - Fax:402-315-3517
Practice Address - Street 1:108 N 49TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-3172
Practice Address - Country:US
Practice Address - Phone:402-359-1265
Practice Address - Fax:402-315-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care