Divine Angels Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE ANGELS HEALTHCARE LLC

Practice address

4611 S 96TH St Ste 227
Omaha, NE 68127-1243

Phone

(402) 201-4969

NPI assigned

Nov 17, 2022

Organization subpart

No

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

Authorized official

Name

Shawnta Sims

Title

Owner

Phone

(402) 686-6982

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1962111971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST STE 227",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271243",
            "telephone_number": "402-201-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST STE 227",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271243",
            "telephone_number": "402-201-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ANGELS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "SHAWNTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-686-6982"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA202206",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheila Marie Ditzler, APRN
• Diversified Healthcare Inc.
• Diversified Healthcare, Inc.
• Diversified Mobile PT LLC
• Suzanne Divett, CHORE PROVIDER
• Divine Angels Home Health LLC
• Divine Connection
• Divine Living, LLC
• Divine Timing Therapy LLC
• Jessica Dix

• Home Health Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• Home Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.