Individual provider · Type 1 NPI

Malayah Marie Pettis

Personal Care Attendant · Omaha, NE

NPI number 1386576254 Active

Practice location

5092 S 105th St
Omaha, NE 68127-2145

Call (402) 319-9610 Map

Mailing address

14712 Gertrude St
Omaha, NE 68138-6339

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	None 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 1386576254

Malayah Marie Pettis's National Provider Identifier is 1386576254, issued on Jun 2, 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 Jun 2, 2026.