MEDICARE: LOVELY SMILE HOMECARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1912481896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVELY SMILE HOMECARE, LLC

Provider Business Mailing Address
First Line	:	3864 FRANKLIN ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68111-4022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5438 N 90TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-1804
Country	:	US
Telephone Number	:	402-686-1344
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	DHAN TAMANG
Credential	:
Telephone Number	:	402-686-1344

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	09/18/2018

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1528920378 — JASMINE DENNIS
Practice Location Address:

5426 N 90TH ST
OMAHA, NE
68134-1804

Practice Phone: 402-415-8609
Practice Fax:

1386459113 — A MOTHERS LOVE INC
Practice Location Address:

5480 N 90TH ST
OMAHA, NE
68134-1804

Practice Phone: 531-215-6288
Practice Fax:

1316740236 — CHALANDRIA JAMES DOULA
Practice Location Address:

5480 N 90TH ST
OMAHA, NE
68134-1804

Practice Phone: 402-612-7337
Practice Fax:

1932902202 — ARTNETTA STEARNS
Practice Location Address:

5480 N 90TH ST
OMAHA, NE
68134-1804

Practice Phone: 531-359-7131
Practice Fax:

1700689122 — ANGELINA GABRIELLE PERRY
Practice Location Address:

5480 N 90TH ST
OMAHA, NE
68134-1804

Practice Phone: 531-215-6288
Practice Fax:

Directions to “LOVELY SMILE HOMECARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.