Divine Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HEALTH CARE INC

Practice address

1629 K St NW
Washington, DC 20006-1602

Phone

(301) 640-6229

Fax

(240) 547-6299

NPI assigned

Dec 19, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Isatu Fornah-Jambai

Title

President/Ceo/Administrator

Phone

(301) 640-6229

Specialties & licenses 4

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1144868258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "301-640-6229",
            "fax_number": "240-547-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061602",
            "telephone_number": "301-640-6229",
            "fax_number": "240-547-6299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12307 Guinevere Rd",
            "address_purpose": "LOCATION",
            "city": "Glenn Dale",
            "state": "MD",
            "postal_code": "207698939",
            "country_code": "US",
            "telephone_number": "301-640-6229",
            "fax_number": "240-547-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "FORNAH-JAMBAI",
        "authorized_official_first_name": "ISATU",
        "authorized_official_title_or_position": "PRESIDENT/CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "301-640-6229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isatu.fornah@divinehealthcaredc.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "address_1": "1629 K St NW Ste 300",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200061631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Divine Connect Care Inc
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• Divine Healthcare Services,Inc
• Divine Hope Residential Care
• Divine Mental Health Services
• Divine Oracle Community Health Inc.
• Divine Providence Health Services

• Home Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Home Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.