Provider Demographics
NPI:1558157487
Name:ALIBRAHEEMI, AYAT K
Entity type:Individual
Prefix:
First Name:AYAT
Middle Name:K
Last Name:ALIBRAHEEMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3806 S 204TH AVE
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2286
Mailing Address - Country:US
Mailing Address - Phone:402-577-1353
Mailing Address - Fax:
Practice Address - Street 1:3806 S 204TH AVE
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-2286
Practice Address - Country:US
Practice Address - Phone:402-577-1353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist