Divine Blessings

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

06-12-077 Issued in FL

Legal business name

DIVINE BLESSINGS

Practice address

904 Jeffrey St
Daytona Beach, FL 32117-4215

Phone

(386) 252-9578

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Miss Gwendolyn Cuffee, MEDICAID PROVIDER

Title

President

Phone

(386) 252-9578

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043428394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 JEFFREY ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174215",
            "telephone_number": "386-252-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 JEFFREY ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174215",
            "telephone_number": "386-252-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE BLESSINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUFFEE",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-252-9578",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MEDICAID PROVIDER"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "06-12-077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.