Divine Global Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE GLOBAL HEALTH SERVICES LLC

Practice address

2938 Myrtlewood Dr
Dumfries, VA 22026-4534

Phone

(240) 462-5947

NPI assigned

Jun 13, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Olaniyi Ogbonlaiye

Title

Program Director

Phone

(240) 462-5947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592006400000",
    "number": "1124643374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7571 HOLLY RIDGE DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608715",
            "telephone_number": "240-462-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 MYRTLEWOOD DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220264534",
            "telephone_number": "240-462-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GLOBAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-13",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A",
        "authorized_official_last_name": "OGBONLAIYE",
        "authorized_official_first_name": "OLANIYI",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "240-462-5947",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.