Organization Active NPI

Divine Comfort Care

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Jacksonville, FL
National Provider Identifier
1013603372
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
DIVINE COMFORT CARE
Practice address
5601 Edenfield Rd Apt 313
Jacksonville, FL 32277-9423
Phone
(904) 258-8023
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Chela Foreman
Title
Manager
Phone
(904) 258-8023

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

5601 Edenfield Rd Apt 313
Jacksonville, FL 32277-9423

Mailing address

5601 Edenfield Rd Apt 313
Jacksonville, FL 32277-9423
Phone (904) 258-8023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1013603372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 EDENFIELD RD APT 313",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322779423",
            "telephone_number": "904-258-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 EDENFIELD RD APT 313",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322779423",
            "telephone_number": "904-258-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE COMFORT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "CHELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-258-8023"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.