Active NPI
Divonica S. Smith
- Home Health Aide
- Omaha, NE
National Provider Identifier
1043023708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1402 Jones St Ste 240
Omaha, NE 68102-3218 - Phone
- (402) 915-5174
- NPI assigned
- Jan 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1402 Jones St Ste 240
Omaha, NE 68102-3218
Mailing address
1402 Jones St Ste 240
Omaha, NE 68102-3218
Phone (402) 915-5171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Homecare Services LLC | Current | Accepting new patients | |
| Open Arms Home Health Care Agency LLC | Current | Accepting new patients |
Locations
1402 Jones St
Omaha, NE 68102
Phone (402) 800-7759
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Omaha, NE
- NPI 1669293999
-
- Home Health Agency
- Omaha, NE
- NPI 1881461028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1043023708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 JONES ST STE 240",
"city": "OMAHA",
"state": "NE",
"postal_code": "681023218",
"telephone_number": "402-915-5171",
"fax_number": "402-256-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 JONES ST STE 240",
"city": "OMAHA",
"state": "NE",
"postal_code": "681023218",
"telephone_number": "402-915-5174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DIVONICA",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.