Divine Health Concepts LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

DIVINE HEALTH CONCEPTS LLC

Practice address

6459 NW Omega Rd
Port Saint Lucie, FL 34983-3353

Phone

(772) 985-0993

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Sandslia Nelson

Title

MGR

Phone

(772) 985-0993

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandslia Lima, ARNP

  • Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1518813617
  NPD

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1124693072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6459 NW OMEGA RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349833353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6459 NW OMEGA RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349833353",
            "telephone_number": "772-985-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SANDSLIA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "772-985-0993"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Francesca Digregorio, PA-C
• Kerline Dimanche
• Sarah Dimatteo, NBC-WHC
• Hendrik Dinkla, ME53372
• Cathy Dionisio, APRN
• Divinebysha
• DME Solutions LLC
• Docbridges Medical Care LLC
• Dockyard Emergency Physicians, LLC
• Docs on Wheels Inc

• Developmental Disabilities Clinic/Center in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.