JOSUE KOMOL NPI 1598561003

NPI Information

  • NPI: 1598561003
  • Provider Name: JOSUE KOMOL
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 3317 N 107TH ST
    OMAHA, NE
    ZIP 68134
  • Phone: (402) 502-1035

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NPI Details

Josue Komol 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. Josue Komol NPI is 1598561003. 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:

3317 N 107TH ST
OMAHA, NE
ZIP 68134-664
Phone: (402) 502-1035

The enumeration date for this NPI number is 2/24/2025 and was last updated on 2/24/2025.

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 DisabilitiesNEBRASKAYes

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: 11/21/2025

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