NPIMap

Organization Active NPI

Divine Hope Home Health LLC

  • Home Health Aide
  • West Chester, OH
National Provider Identifier
1124700141
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
DIVINE HOPE HOME HEALTH LLC
Practice address
8210 Desoto Dr Apt B111
West Chester, OH 45069-2169
Phone
(513) 837-3941
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Relidis Tibong AmbockNPI 1053005900
Title
Owner
Phone
(513) 837-3941

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
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

8210 Desoto Dr Apt B111
West Chester, OH 45069-2169

Mailing address

8210 Desoto Dr Apt B111
West Chester, OH 45069-2169
Phone (513) 837-3941

National Provider Directory

National Provider Directory
Tax ID family
Divine Hope Home Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1124700141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 DESOTO DR APT B111",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692169",
            "telephone_number": "513-837-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 DESOTO DR APT B111",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692169",
            "telephone_number": "513-837-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOPE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "AMBOCK",
        "authorized_official_first_name": "RELIDIS",
        "authorized_official_middle_name": "TIBONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-837-3941"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.