Individual provider · Type 1 NPI

Jose A. Fernandez

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE

NPI number 1992689129 Active

Practice location

1805 N 73rd St
Omaha, NE 68114-1905

Call (402) 557-8583 Map

Mailing address

11006 S 15th St
Bellevue, NE 68123-4503

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1992689129

Jose A. Fernandez's National Provider Identifier is 1992689129, issued on Aug 1, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Omaha, NE. The record was last updated on Aug 4, 2025.