Active NPI
Divinity Homecare Services LLC
- Home Health Agency
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DIVINITY HOMECARE SERVICES LLC
- Practice address
- 313 Bainbridge St FL 1
Philadelphia, PA 19147-1542 - Phone
- (267) 348-4248
- NPI assigned
- Jun 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Brown
- Title
- Ceo
- Phone
- (267) 536-9188
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
313 Bainbridge St FL 1
Philadelphia, PA 19147-1542
Mailing address
313 Bainbridge St FL 1
Philadelphia, PA 19147-1542
Phone (267) 348-4248
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2309856 | Divinity Homecare Services, LLC | Certificate of waiver | Aug 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
1901 S Townsend Ave
Montrose, CO 81401
Phone (970) 252-8896
313 Bainbridge St
Fl 1
Philadelphia, PA 19147
Phone (267) 348-4248
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Philadelphia, PA
- NPI 1053647875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689552000000",
"number": "1144713140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 BAINBRIDGE ST FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471542",
"telephone_number": "267-348-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 BAINBRIDGE ST FL 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471542",
"telephone_number": "267-348-4248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINITY HOMECARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-13",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-536-9188"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.