Divine Jimla, CASE MANAGER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6428 Landing Way
Hyattsville, MD 20784-4619

Phone

(301) 442-1801

NPI assigned

Jan 23, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Horizon Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • New Carrollton, MD
  • NPI 1407033541
  NPD (past) Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1124889431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 LANDING WAY",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207844619",
            "telephone_number": "301-442-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 LANDING WAY",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207844619",
            "telephone_number": "301-442-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMLA",
        "first_name": "DIVINE",
        "credential": "CASE MANAGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Jenkins
• Taunya Lawan Jenkins, DDS
• Jerome Nyongbela
• JH Med Transportation
• Ngozi Maryann Jideofor
• Grace-Hilda Kinyuy Jimla
• Abubakar Jinadu
• Okanlawon John
• Allan Carl Johnson, DMD
• Asia Johnson

• Case Manager/Care Coordinator in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.