NPI 1639051915

Heavens Domain LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Omaha, NE

Practice location

Address: 3314 Decatur St, Omaha, NE 68111-4142
Phone: (301) 549-6872

Authorised official

Name: Veronic Atagah
Title: Ceo
Phone: (302) 384-5822

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1639051915
Entity type: Organization
NPI issued: 25 Jul 2025
Record last updated: 12 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.