| Rubango International Llc | |
|
1905 Harney St Ste 714 Omaha NE 68102-2314 | |
| (402) 249-4790 | |
| Not Available |
| Full Name | Rubango International Llc |
|---|---|
| Speciality | Counselor |
| Location | 1905 Harney St Ste 714, Omaha, Nebraska |
| Authorized Official Name and Position | Kani-nsimire Rubango (OWNER, LMSW, LIMHP) |
| Authorized Official Contact | 4022494790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubango International Llc 1905 Harney St Ste 714 Omaha NE 68102-2314 Ph: (402) 249-4790 | Rubango International Llc 1905 Harney St Ste 714 Omaha NE 68102-2314 Ph: (402) 249-4790 |
| NPI Number | 1093337610 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 01/09/2026 |
| Certification Date | 01/09/2026 |
| Medicare PECOS PAC ID | 2668887928 |
|---|---|
| Medicare Enrollment ID | O20210218001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093337610 | NPI | - | NPPES |
| 10026834100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kani-nsimire N Rubango |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053707968 PECOS PAC ID: 6709122039 Enrollment ID: I20210308000346 |
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