Organization Active NPI

Divine Promises Nursing Agency

  • Home Health Agency
  • El Cajon, CA
National Provider Identifier
1053615039
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE PROMISES NURSING AGENCY
Practice address
1630 Wally Way
El Cajon, CA 92021-3684
Phone
(619) 334-3438
Fax
(619) 334-3438
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Titilola Harriet Adanritaylor, R.N
Title
President/Ceo
Phone
(619) 334-3438

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Adult Mental Health Clinic/Center 261QM0850X 643553 CA
Rehabilitation Hospital Unit 273Y00000X
Long Term Care Hospital 282E00000X
General Acute Care Hospital 282N00000X 643553 CA
Psychiatric Hospital 283Q00000X
Rehabilitation Hospital 283X00000X 643553 CA
Military Hospital 286500000X 643553 CA
Assisted Living Facility 310400000X
Assisted Living Facility 310400000X 643553 CA
Physical Disabilities Residential Treatment Facility 320700000X 643553 CA
Psychiatric Residential Treatment Facility 323P00000X 643553 CA
Substance Abuse Rehabilitation Facility 324500000X 643553 CA
Respite Care 385H00000X 643553 CA

Addresses

Primary practice location

1630 Wally Way
El Cajon, CA 92021-3684

Mailing address

1630 Wally Way
El Cajon, CA 92021-3684
Phone (619) 334-3438

National Provider Directory

National Provider Directory
Tax ID family
Divine Promises Nursing Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1053615039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 WALLY WAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213684",
            "telephone_number": "619-334-3438",
            "fax_number": "619-334-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 WALLY WAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213684",
            "telephone_number": "619-334-3438",
            "fax_number": "619-334-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PROMISES NURSING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "ADANRITAYLOR",
        "authorized_official_first_name": "TITILOLA",
        "authorized_official_middle_name": "HARRIET",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "619-334-3438",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "643553",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "643553",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "CA",
            "license": "643553",
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "643553",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "643553",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "643553",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "643553",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "643553",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "643553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.