Organization Active NPI

Truly Divine at Home Care LLC

  • Home Health Agency
  • Neshkoro, WI
National Provider Identifier
1013498930
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRULY DIVINE AT HOME CARE LLC
Practice address
N8319 Cty N
Neshkoro, WI 54960
Phone
(920) 369-8884
NPI assigned
Aug 28, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Joseph Harley
Title
Organizer
Phone
(920) 369-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

N8319 Cty N
Neshkoro, WI 54960

Mailing address

N8319 Cty N
Neshkoro, WI 54960
Phone (920) 369-8884

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1013498930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8319 CTY N",
            "city": "NESHKORO",
            "state": "WI",
            "postal_code": "54960",
            "telephone_number": "920-369-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N8319 CTY N",
            "city": "NESHKORO",
            "state": "WI",
            "postal_code": "54960",
            "telephone_number": "920-369-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRULY DIVINE AT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "HARLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "920-369-8884"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neshkoro, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.