Organization Active NPI

De Divine Kare LLC

  • Nursing Care Agency
  • Union City, GA
National Provider Identifier
1104689140
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
DE DIVINE KARE LLC
Practice address
6001 Kahiti Trce
Union City, GA 30291-1371
Phone
(678) 779-7504
Fax
(404) 595-5223
NPI assigned
Feb 2, 2024
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Susan Toyin Kwushue, REGISTERED NURSENPI 1225891096
Title
Administrator
Phone
(678) 779-7504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

6001 Kahiti Trce
Union City, GA 30291-1371

Mailing address

6001 Kahiti Trce
Union City, GA 30291-1371
Phone (678) 779-7504

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1104689140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 KAHITI TRCE",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911371",
            "telephone_number": "678-779-7504",
            "fax_number": "404-595-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 KAHITI TRCE",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911371",
            "telephone_number": "678-779-7504",
            "fax_number": "404-595-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE DIVINE KARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "KWUSHUE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "TOYIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-779-7504",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.