# DIVINE ANGELS HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shawnta Sims
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790599975
- **Authorized official:** SHAWNTA SIMS (OWNER)
- **Authorized official phone:** (402) 686-6982

## Contact information

- **Practice address:** 4611 S 96TH ST STE 224, OMAHA, NE 68127-1243
- **Practice address phone:** (402) 213-2905
- **Practice address fax:** (402) 500-4090
- **Mailing address:** 4611 S 96TH ST STE 224, OMAHA, NE 68127-1243
- **Mailing address phone:** (402) 213-2905
- **Mailing address fax:** (402) 500-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/06/2025