Devine Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906841 Issued in FL

Legal business name

DEVINE ADULT FAMILY CARE HOME

Practice address

7913 SW 3Rd St
North Lauderdale, FL 33068-1103

Phone

(954) 515-2104

NPI assigned

May 5, 2016

Last updated

May 5, 2016By 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

Louna Develis

Title

Ceo

Phone

(954) 515-2104

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1073969317",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "7913 SW 3RD ST",
            "city": "NORTH LAUDERDALE",
            "state": "FLORIDA",
            "postal_code": "33319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 SW 3RD ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330681103",
            "telephone_number": "954-515-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "DEVELIS",
        "authorized_official_first_name": "LOUNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-515-2104"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "311ZA0620X",
            "identifier": "N/A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoly Carmen Delice
• Jerry Dely, MD
• Bridgette Dennis, MSW
• Emelouse Francois Derameau, FNP
• Jean Alix Desrosiers, PA
• Lynn Knigge Digiorgio, LMHC
• Bernice Del Rosario Diones
• DMH Healthcare LLC
• Dayana Annetis Dominguez
• Maria Dominguez, DDS

• Adult Care Home Facility in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.