NPIMap

Organization Active NPI

Divine and Compassionate Care LLC

  • In Home Supportive Care Agency
  • Fort Pierce, FL
National Provider Identifier
1124731443
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE AND COMPASSIONATE CARE LLC
Practice address
919 S 25TH St Apt 2-102
Fort Pierce, FL 34947-4602
Phone
(772) 801-7771
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Octavia Johnson, CNANPI 1184345605
Title
Owner
Phone
(772) 801-7771

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

919 S 25TH St Apt 2-102
Fort Pierce, FL 34947-4602

Mailing address

919 S 25TH St Apt 2-102
Fort Pierce, FL 34947-4602
Phone (772) 801-7771

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.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1124731443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 S 25TH ST APT 2-102",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474602",
            "telephone_number": "772-801-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 S 25TH ST APT 2-102",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474602",
            "telephone_number": "772-801-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE AND COMPASSIONATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-801-7771",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

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