Divine Homehealth Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOMEHEALTH CARE LLC

Practice address

4969 Strathaven Dr
Dayton, OH 45424-4665

Phone

(937) 369-1494

NPI assigned

Jul 31, 2020

Last updated

Jul 31, 2020By 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

Elvis Tumasang

Title

Owner

Phone

(937) 369-1494

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1124637525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 STRATHAVEN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454244665",
            "telephone_number": "937-369-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 STRATHAVEN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454244665",
            "telephone_number": "937-369-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOMEHEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "TUMASANG",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-369-1494"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Dayton, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.