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MARCELLIS MINOR JR.
NPI 1740085752
Technician - Personal Care Attendant in Omaha, NE

Active since February 14, 2025
10909 COTTONWOOD LN, OMAHA, NE 68164(402) 964-2848 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcellis Minor Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCELLIS MINOR JR. (NPI 1740085752) is an individual personal care attendant in Omaha, Nebraska and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1740085752
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMARCELLIS MINOR JR.
Location Address10909 COTTONWOOD LNOmaha, NE 68164-3860
Mailing Address10909 Cottonwood LnOmaha, NE 68164-3860 · (402) 964-2848
Phone(402) 964-2848
Sole ProprietorNo
Enumeration DateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1740085752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
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
10909 COTTONWOOD LN, Omaha, NE 68164
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK & PATRICK, LLP
Home Health
10909 COTTONWOOD LN
OMAHA, NE 68164
Douglas County (402) 964-2848
REAGAN PATRICK
Technician (Personal Care Attendant)
10909 COTTONWOOD LN
OMAHA, NE 68164
Douglas County (402) 964-2848
REGGIE PATRICK
Technician (Personal Care Attendant)
10909 COTTONWOOD LN
OMAHA, NE 68164
Douglas County (402) 964-2848
JAIVEON WELLS
Technician (Personal Care Attendant)
10909 COTTONWOOD LN
OMAHA, NE 68164
Douglas County (402) 964-2846
ASSISTED GROWTH SERVICES OF NEBRASKA
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
10909 COTTONWOOD LN
OMAHA, NE 68164
Douglas County (402) 990-9874

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 Marcellis Minor's NPI number?

The NPI number for Marcellis Minor is 1740085752. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Where is Marcellis Minor located?

Marcellis Minor practices at 10909 Cottonwood Ln, Omaha, NE 68164. The listed phone number is (402) 964-2848.

What is Marcellis Minor's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Marcellis Minor was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.