Provider Demographics
NPI:1104637131
Name:ALMHMOUD, YUSEF
Entity type:Individual
Prefix:
First Name:YUSEF
Middle Name:
Last Name:ALMHMOUD
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 1:3900 OLD CHENEY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2793
Mailing Address - Country:US
Mailing Address - Phone:559-274-2968
Mailing Address - Fax:
Practice Address - Street 1:3900 OLD CHENEY RD STE 201
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-2793
Practice Address - Country:US
Practice Address - Phone:559-274-2968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE835478333747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant