Active NPI
Divine Treasure House
- Developmental Disabilities Clinic/Center
- Jacksonville, FL
National Provider Identifier
1033865886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- DIVINE TREASURE HOUSE
- Practice address
- 3946 Saint Johns Ave Apt 1006
Jacksonville, FL 32205-9499 - Phone
- (404) 791-3060
- NPI assigned
- Mar 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Abiola Oloruntoba, MBA
- Title
- Ceo
- Phone
- (404) 791-3060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
3946 Saint Johns Ave Apt 1006
Jacksonville, FL 32205-9499
Mailing address
1775 The Exchange SE Ste 265
Atlanta, GA 30339-2016
Phone (404) 791-3060
National Provider Directory
National Provider DirectoryLocations
1775 The Exchange SE
Ste 265
Atlanta, GA 30339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648339200000",
"number": "1033865886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 THE EXCHANGE SE STE 265",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392016",
"telephone_number": "404-791-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3946 SAINT JOHNS AVE APT 1006",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322059499",
"telephone_number": "404-791-3060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE TREASURE HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-27",
"certification_date": "2022-03-27",
"status": "A",
"authorized_official_last_name": "OLORUNTOBA",
"authorized_official_first_name": "ABIOLA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-791-3060",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"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 Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.