Divine Purpose Community Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE PURPOSE COMMUNITY SERVICES LLC

Practice address

1330 Smith Ave
Baltimore, MD 21209-3878

Phone

(410) 805-1070

NPI assigned

Mar 6, 2019

Last updated

Mar 6, 2019By 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

Dejuan FelderNPI 1629632849

Title

Owner

Phone

(410) 805-1070

Specialties & licenses 1

Addresses

Tax ID family

Divine Purpose Community Services 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.

• Divine Purpose Community Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1790343762
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dejuan Dwayne Felder

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1629632849
  NPD Authorized official

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1144788316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SMITH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093701",
            "telephone_number": "410-805-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SMITH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093878",
            "telephone_number": "410-805-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PURPOSE COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "FELDER",
        "authorized_official_first_name": "DEJUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-805-1070"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Mercy, Inc. (Beacon of Hope Wellness Center)
• Divine Mercy, Inc. (Beacon of Hope)
• Divine Mercy, Inc. (Beacon of Hope)
• Divine Mercy, Inc. (Beacon of Hope Wellness Center)
• Divine Obsidian Consulting, LLC
• Divine Purpose Community Services LLC
• Divine Residential Healthcare Inc.
• Divine Shield Care
• Frances Serena Dix, CRNP
• Patricia Dix, CRNP-AC PEDIATRICS

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.