Healthcare Provider Details

I. General information

NPI: 1154256345
Provider Name (Legal Business Name): TARA MAGAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3926 N 19TH ST
OMAHA NE
68110-1765
US

IV. Provider business mailing address

3926 N 19TH ST
OMAHA NE
68110-1765
US

V. Phone/Fax

Practice location:
  • Phone: 402-319-4873
  • Fax: 402-614-1599
Mailing address:
  • Phone: 402-319-4873
  • Fax: 402-614-1599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: