Divinity Premier Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINITY PREMIER HOMECARE LLC

Practice address

968 Avenal LN
Davenport, FL 33837-6717

Phone

(407) 780-1920

NPI assigned

Dec 17, 2025

Last updated

Dec 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marie M Brun

Title

Ceo

Phone

(407) 780-1920

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1134084627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 AVENAL LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376717",
            "telephone_number": "407-780-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 AVENAL LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376717",
            "telephone_number": "407-780-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY PREMIER HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "BRUN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-780-1920"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Diaz
• Sandra R Diaz
• Rafik Dib, DDS, MSD, PHARMD.
• Tabitha Dieujuste, APRN
• Divine Heart Nursing LLC
• Alexander Viet Doan
• Lashandra Dodard, PTA
• Yasmine Dominique-Merveus, MSW
• Berlandecia Dor
• Stephania Dorcilien, APRN

• In Home Supportive Care Agency in Davenport, FL
• Providers in Davenport, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.