Organization Active NPI

Covenant Angels of Nebraska

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1215734116
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COVENANT ANGELS OF NEBRASKA
Practice address
8936 N 78TH Avenue Cir
Omaha, NE 68122-4109
Phone
(469) 668-5005
NPI assigned
Feb 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lanisha MaxwellNPI 1912704818
Title
Owner
Phone
(469) 668-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8936 N 78TH Avenue Cir
Omaha, NE 68122-4109

Mailing address

8936 N 78TH Avenue Cir
Omaha, NE 68122-4109
Phone (469) 668-5005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1215734116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 N 78TH AVENUE CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681224109",
            "telephone_number": "469-668-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 N 78TH AVENUE CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681224109",
            "telephone_number": "469-668-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT ANGELS OF NEBRASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "LANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-668-5005"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Feb 27, 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.

Verify at the official NPI Registry.