Devine Family Care Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEVINE FAMILY CARE PRACTICE LLC

Practice address

7131 Liberty Rd Ste 100
Gwynn Oak, MD 21207-4580

Phone

(410) 963-9577

Fax

(443) 200-5261

NPI assigned

Jan 9, 2018

Last updated

Sep 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stella Mbah, NPNPI 1851787725

Title

Cmo/Owner

Phone

(410) 963-9577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Devine Family Care Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Devine Family Care Practice LLC

  dba Devine Family Care Practice

  • Family Nurse Practitioner
  • Owings Mills, MD
  • NPI 1962219642
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Devine Family Care Practice LLC

  dba Devine Family Care Practice

  • Family Nurse Practitioner
  • Owings Mills, MD
  • NPI 1962219642
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stella Ebere Mbah, CRNP

  • Family Nurse Practitioner
  • Gwynn Oak, MD
  • NPI 1851787725
  Medicare reassignment Authorized official
• Idowu Hafzat Adeleke

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1265295240
  NPD (past)
• Agnes Ashu Agbortarh

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1346901865
  NPD (past)
• Sakirat Bukola Raheem, FNP-BC

  • Family Nurse Practitioner
  • Gwynn Oak, MD
  • NPI 1568227726
  NPD (past)

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1053828244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 LIBERTY RD STE 100",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074580",
            "telephone_number": "410-963-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 LIBERTY RD STE 100",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074580",
            "telephone_number": "410-963-9577",
            "fax_number": "443-200-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE FAMILY CARE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2025-09-12",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "MBAH",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "CMO/OWNER",
        "authorized_official_telephone_number": "410-963-9577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle R Davey, LCSW-C
• Letisha A Davis-Daye
• Okima Davis, LMT
• Malashia Ariel Daye, BT
• Cheryl Dennis
• Emiley Nicole Dionne
• Seydi Diop
• Divine Peaceful Minds, LLC
• Divine Wellness and Psychiatric Services
• Matthew Dorsey, LGSW

• Family Medicine Physician in Gwynn Oak, MD
• Providers in Gwynn Oak, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.