Divine Gifted Hands Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE GIFTED HANDS HOME CARE LLC

Practice address

1360 Sarno Rd Ste a
Melbourne, FL 32935-5211

Phone

(321) 294-7159

NPI assigned

Feb 21, 2019

Organization subpart

No

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

Authorized official

Name

Jacqueline De Jesus

Title

President

Phone

(267) 333-4682

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1164989653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 PRINCE CHARLES DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 SARNO RD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355211",
            "telephone_number": "321-294-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GIFTED HANDS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-333-4682"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnaldo Disla
• Edwin Yanul Disla, CRNA
• James Ditscheit, CRNA
• Jennifer Ditscheit, OTR
• Frank G Ditz, M.D.
• Jessica A Divine
• Sandy Dixon
• Sophia Dixon
• DJ Scalera Jr DDS PA
• Dna Comprehensive Therapy Services, LLC

• In Home Supportive Care Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• In Home Supportive Care Agency in Florida

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