Divine Nurturing Alliance of Caring, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

343974 Issued in MN

Legal business name

DIVINE NURTURING ALLIANCE OF CARING, INC.

Practice address

7964 Brooklyn Blvd
Suite 216
Brooklyn Park, MN 55445-2722

Phone

(763) 463-5911

Fax

(763) 494-3782

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Alexander O Bassey-Black

Title

Ods

Phone

(763) 463-5911

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1104052976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7964 BROOKLYN BLVD",
            "address_2": "SUITE 216",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452722",
            "telephone_number": "763-463-5911",
            "fax_number": "763-494-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 BROOKLYN BLVD",
            "address_2": "SUITE 216",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452722",
            "telephone_number": "763-463-5911",
            "fax_number": "763-494-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE NURTURING ALLIANCE OF CARING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "BASSEY-BLACK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ODS",
        "authorized_official_telephone_number": "763-463-5911"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "343974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A607463100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyne Ashly Marie Dittberner, OTR/L
• Diversified Joy
• Divine Care Services (N/a)
• Divine Love Homecare Services, LLC
• Divine Mercy LLC.
• Divine Transportation LLC
• Susan May Dodge, LICSW
• Johnson Chester Doe Jr.
• Andrew Sirlley Dogbe
• Don Sealock, O.D., P.a. (Brooklyn Park Optical)

• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.