First Divine Home Healthcare Agency Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010400 Issued in TX

Legal business name

FIRST DIVINE HOME HEALTHCARE AGENCY INC.

Practice address

7901 Cameron Rd Ste 302
Austin, TX 78754-3831

Phone

(512) 775-6392

Fax

(512) 990-8387

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Florence Tubonemi, RNNPI 1366981516

Title

Administrator/Owner

Phone

(512) 870-7395

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FIRST DIVINE HOME HEALTHCARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Florence Tubonemi, RN CASE MANAGER

  • Case Management Agency
  • Cedar Park, TX
  • NPI 1366981516
  NPD Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1154818706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 BYFIELD DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137614",
            "telephone_number": "512-870-7395",
            "fax_number": "512-456-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 CAMERON RD STE 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787543831",
            "telephone_number": "512-775-6392",
            "fax_number": "512-990-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DIVINE HOME HEALTHCARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "TUBONEMI",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "512-870-7395",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158806705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST DIVINE HOME HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FIRST DIVINE HOME HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shahrbanou Firouziniaki, MS, RD, LD
• Tracy Firsching, RMT, NMT
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• First Place Pediatrics, LLC
• First Wellness
• Candice Arlene Fischer, PHARM. D., BCACP

• All providers in Austin, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.