Provider Demographics
NPI:1386449791
Name:ABDI, ABDINASIR BASHIR
Entity type:Individual
Prefix:
First Name:ABDINASIR
Middle Name:BASHIR
Last Name:ABDI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 JONES ST STE 503
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-3247
Mailing Address - Country:US
Mailing Address - Phone:402-581-9209
Mailing Address - Fax:
Practice Address - Street 1:1301 JONES ST STE 503
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-3247
Practice Address - Country:US
Practice Address - Phone:402-581-9209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE251E00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health