Organization Active NPI

Divine Dedication Inc

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1053417683
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
68525761 Issued in CO
Legal business name
DIVINE DEDICATION INC
Practice address
12510 East Iliff
Ste 115
Aurora, CO 80014-6377
Phone
(303) 751-7077
Fax
(303) 751-7009
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Ms. Debra R Howard
Title
Ceo
Phone
(303) 751-7077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CO
Home Health Agency 251E00000X 68525761 CO Primary

Addresses

Primary practice location

12510 East Iliff
Ste 115
Aurora, CO 80014-6377

Mailing address

12510 East Iliff
Ste 115
Aurora, CO 80014-6377
Phone (303) 751-7077

Other identifiers 1

IdentifierTypeStateIssuer
68525761MedicaidCO

National Provider Directory

National Provider Directory

Locations

12510 E Iliff Ave
Ste 115
Aurora, CO 80014
Phone (303) 751-7077

2323 S Troy St
#220
Aurora, CO 80014
Phone (303) 751-7077

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1053417683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 EAST ILIFF",
            "address_2": "STE 115",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146377",
            "telephone_number": "303-751-7077",
            "fax_number": "303-751-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 EAST ILIFF",
            "address_2": "STE 115",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146377",
            "telephone_number": "303-751-7077",
            "fax_number": "303-751-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DEDICATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-751-7077",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "68525761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68525761",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.