Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tariq Pruitt

Individual provider Personal Care Attendant · NPI 1720969249

Tariq Pruitt is a Personal Care Attendant in Omaha, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

440 Regency Parkway Dr Ste 134
Omaha, NE 68114-3742
Phone: (402) 359-1996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1720969249
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address2928 N 83rd St, Omaha, NE 68134-4979

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