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

Tayemon Anthony Domond Stubblefield

Individual provider Personal Care Attendant · NPI 1669396909

Tayemon Anthony Domond Stubblefield is a Personal Care Attendant in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3

Practice location Address checks out

4940 S 114th St Ste 4
Omaha, NE 68137-2310
Phone: (402) 509-4480
Fax: (402) 982-4099
Show map & directions

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

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X
Personal Care Attendant Taxonomy 3747P1801X
Respite Care Taxonomy 385H00000X

Record details

NPI number1669396909
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 7, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

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