Provider Demographics
NPI:1306724836
Name:BARRA, SOULEYMAN HISSEIN
Entity type:Individual
Prefix:
First Name:SOULEYMAN
Middle Name:HISSEIN
Last Name:BARRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 N 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-2334
Mailing Address - Country:US
Mailing Address - Phone:402-659-1674
Mailing Address - Fax:
Practice Address - Street 1:1017 N 48TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-2334
Practice Address - Country:US
Practice Address - Phone:402-659-1674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide