Individual provider · Type 1 NPI

Gary Leon Pettitt

Adult Companion · Fremont, NE

NPI number 1669323077 Active

Practice location

845 W 19th St
Fremont, NE 68025-2920

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1669323077

Gary Leon Pettitt's National Provider Identifier is 1669323077, issued on Feb 4, 2026. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Fremont, NE. The record was last updated on Feb 4, 2026.