Divine Care Family Practice, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DIVINE CARE FAMILY PRACTICE, LLC

Practice address

6018 Harford Rd
Baltimore, MD 21214-1327

Phone

(443) 985-9875

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Kate Ojeyinka, DNP

Title

Provider

Phone

(443) 985-9875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1033716329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 QUANDERS PROMISE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204693",
            "telephone_number": "443-985-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141327",
            "telephone_number": "443-985-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "OJEYINKA",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-985-9875",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sai Sachin Divakaruni, MD, PHD
• Sara A Divall, M.D.
• Diverleaf LLC
• Diverse Supports Inc.
• Divine Beauty & Wellness LLC
• Divine Care Pharmacy
• Divine Care Solutions
• Divine Dental LLC
• Divine Grace Health Services
• Divine Grace Health Services

• Primary Care Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.