Dynamic Homecare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DYNAMIC HOMECARE SERVICES LLC

Practice address

1402 Jones St Ste 240
Omaha, NE 68102-3218

Phone

(402) 915-5171

Fax

(402) 256-6651

NPI assigned

Oct 19, 2024

Organization subpart

No

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

Authorized official

Name

Divonica SmithNPI 1043023708

Title

Owner

Phone

(402) 915-5171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Divonica S. Smith

  • Home Health Aide
  • Omaha, NE
  • NPI 1043023708
  NPD Authorized official

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1669293999",
    "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": "402-915-5171",
            "fax_number": "402-256-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DIVONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-915-5171"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.