# SHADES OF BEAUTY CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shades of Beauty Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417711896
- **Authorized official:** RONTASHA JOHNSON LPN (OWNER)
- **Authorized official phone:** (402) 415-9639

## Contact information

- **Practice address:** 7714 N 82ND AVE, OMAHA, NE 68122-1541
- **Practice address phone:** (402) 415-9639
- **Mailing address:** 7714 N 82ND AVE, OMAHA, NE 68122-1541
- **Mailing address phone:** (402) 415-9639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |
| 251E00000X | Home Health Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 372500000X | Chore Provider | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 02/07/2024
- **Last updated:** 02/07/2024