Individual provider · Type 1 NPI

Scotty Lee Clark

Personal Care Attendant · Omaha, NE

NPI number 1336007129 Active

Practice location

1207 S 13th St
Omaha, NE 68108-3501

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1336007129

Scotty Lee Clark's National Provider Identifier is 1336007129, issued on Jan 12, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Omaha, NE. The record was last updated on Jan 12, 2026.