Provider Demographics
NPI:1003621939
Name:ABDALLAH, SEIFELDIN MOHAMED ELHASSAN (BSC)
Entity type:Individual
Prefix:MR
First Name:SEIFELDIN
Middle Name:MOHAMED ELHASSAN
Last Name:ABDALLAH
Suffix:
Gender:
Credentials:BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 N 23RD ST APT 101
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1094
Mailing Address - Country:US
Mailing Address - Phone:402-610-3578
Mailing Address - Fax:
Practice Address - Street 1:2610 W M CT
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-1006
Practice Address - Country:US
Practice Address - Phone:402-325-8555
Practice Address - Fax:402-325-8575
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747A0650X
NEH13240518385HR2060X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child