Provider Demographics
NPI:1689488819
Name:NEXUS DEVELOPMENTAL SERVICES OF NEBRASKA LLC
Entity type:Organization
Organization Name:NEXUS DEVELOPMENTAL SERVICES OF NEBRASKA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAHAB
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALAHALDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-601-8442
Mailing Address - Street 1:2811 TIERRA DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5013
Mailing Address - Country:US
Mailing Address - Phone:402-601-8442
Mailing Address - Fax:
Practice Address - Street 1:5101 S 111TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2341
Practice Address - Country:US
Practice Address - Phone:402-601-8442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No385H00000XRespite Care FacilityRespite Care