Organization Active NPI

Divine Vision Nurse Staffing LLC

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1013556570
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE VISION NURSE STAFFING LLC
Practice address
211 Dauntly St
Upper Marlboro, MD 20774-1809
Phone
(301) 712-2794
Fax
(301) 202-8143
NPI assigned
Jan 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Alice Anigwe, RN
Title
President/Don
Phone
(301) 712-2794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

211 Dauntly St
Upper Marlboro, MD 20774-1809

Mailing address

211 Dauntly St
Upper Marlboro, MD 20774-1809
Phone (301) 712-2794

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1013556570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DAUNTLY ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741809",
            "telephone_number": "301-712-2794",
            "fax_number": "301-202-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 DAUNTLY ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741809",
            "telephone_number": "301-712-2794",
            "fax_number": "301-202-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE VISION NURSE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "ANIGWE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT/DON",
        "authorized_official_telephone_number": "301-712-2794",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.