Provider Demographics
NPI:1891989372
Name:AMAZING ANGELS HOME HEALTH & HOSPICE LLC
Entity Type:Organization
Organization Name:AMAZING ANGELS HOME HEALTH & HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:402-455-2500
Mailing Address - Street 1:2584 PRATT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2943
Mailing Address - Country:US
Mailing Address - Phone:402-455-2500
Mailing Address - Fax:402-455-2800
Practice Address - Street 1:2584 PRATT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-2943
Practice Address - Country:US
Practice Address - Phone:402-455-2500
Practice Address - Fax:402-455-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA200707251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health