Divine Care Services LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

DIVINE CARE SERVICES LLC

Doing business as

Divine Care Services LLc

Practice address

21212 SE 62ND Ave
Hawthorne, FL 32640

Phone

(352) 870-9651

NPI assigned

Jun 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natasha Shantel Williams

Title

Ceo

Phone

(352) 870-9651

Specialties & licenses 3

Addresses

Other names 1

• Divine Care Services LLc Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013446475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 SE 62ND AVE",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326403527",
            "telephone_number": "352-870-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 SE 62ND AVE",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "32640",
            "telephone_number": "352-870-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21212 SE 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "FL",
            "postal_code": "32640",
            "country_code": "US",
            "telephone_number": "352-870-9651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "SHANTEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-870-9651"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "49023",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "232986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Care Services LLc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Divine Care Services LLc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Companion in Hawthorne, FL
• Providers in Hawthorne, FL by specialty
• Adult Companion in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.