NPIMap

Organization Active NPI

Divine Elder Care LLC

  • In Home Supportive Care Agency
  • Worcester, MA
National Provider Identifier
1033783014
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE ELDER CARE LLC
Practice address
716 W Boylston St Ste 1
Worcester, MA 01606-3074
Phone
(508) 368-4358
Fax
(508) 368-4359
NPI assigned
May 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Ratna BalaganiNPI 1285887117
Title
Ceo
Phone
(508) 368-4358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

716 W Boylston St Ste 1
Worcester, MA 01606-3074

Mailing address

716 W Boylston St Ste 1
Worcester, MA 01606-3074
Phone (508) 444-0955

National Provider Directory

National Provider Directory

Locations

716 W Boylston St
Ste 1
Worcester, MA 01606
Phone (508) 368-4358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1033783014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BOYLSTON ST STE 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063074",
            "telephone_number": "508-444-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W BOYLSTON ST STE 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063074",
            "telephone_number": "508-368-4358",
            "fax_number": "508-368-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ELDER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "BALAGANI",
        "authorized_official_first_name": "RATNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-368-4358"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.