Divine Senior Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DIVINE SENIOR SERVICES LLC

Doing business as

Manatee River Assisted Living

Practice address

820 5TH St W
Palmetto, FL 34221-5018

Phone

(941) 721-0426

Fax

(941) 722-8423

NPI assigned

Jan 28, 2025

Last updated

Jan 28, 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

Roshan Bisht

Title

Owner

Phone

(941) 721-0426

Specialties & licenses 2

Addresses

Other names 1

• MANATEE RIVER ASSISTED LIVING Doing business as

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1164235883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 5TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215018",
            "telephone_number": "941-721-0426",
            "fax_number": "941-722-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 5TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215018",
            "telephone_number": "941-721-0426",
            "fax_number": "941-722-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SENIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BISHT",
        "authorized_official_first_name": "ROSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-721-0426"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANATEE RIVER ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diamond Family Medicine PLLC Donita Kay Diamond Sole MBR (Diamond Medical Group)
• Melanie Diaz Berrios, DC
• Anita Diaz, COTA
• Suzette Maya Dibattista, OTR/L
• Joseph M Dimino, MD
• David P Divita, MD
• Patricia Shalene Dixon, PSY.D
• Duc Vinh DO, PHARM.D, RPH
• Patti Dolan, MD
• Trevor Dooley

• Assisted Living Facility in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.