Organization Active NPI

Divine Treasure House

  • Developmental Disabilities Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1033865886
Registry record updated Mar 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
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

Updated by the provider on Mar 27, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.