JOEL BAZAYAMEKELE NPI 1104615046

NPI Information

  • NPI: 1104615046
  • Provider Name: JOEL BAZAYAMEKELE
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 1805 N 73RD ST
    OMAHA, NE
    ZIP 68114
  • Phone: (402) 557-8583

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NPI Details

Joel Bazayamekele is a community based residential treatment facility, intellectual and/or developmental disabilities in Omaha, NE. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Joel Bazayamekele NPI is 1104615046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1805 N 73RD ST
OMAHA, NE
ZIP 68114-905
Phone: (402) 557-8583

The enumeration date for this NPI number is 5/6/2025 and was last updated on 5/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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