MARTAVIUS C PENNINGTON
NPI 1114714649
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE
About Martavius C Pennington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTAVIUS C PENNINGTON (NPI 1114714649) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Omaha, Nebraska and active in the NPI registry since April 2025.
NPPES Registry Identity
Specialties & Licenses
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Other Names 1
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OMAHA, NE 68114
OMAHA, NE 68114
OMAHA, NE 68114
OMAHA, NE 68114
OMAHA, NE 68114
OMAHA, NE 68114
OMAHA, NE 68114
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Martavius Pennington's NPI number?
The NPI number for Martavius Pennington is 1114714649. It was assigned to this individual provider in the NPPES registry on April 21, 2025. The provider is also known as Martavius C Pennington.
Where is Martavius Pennington located?
Martavius Pennington practices at 1813 N 73rd St, Omaha, NE 68114. The listed phone number is (402) 557-8583.
What is Martavius Pennington's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Martavius Pennington was last updated on April 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
