Divine Health and Wellness Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

103K00000X Issued in NV

Legal business name

DIVINE HEALTH AND WELLNESS CORP

Practice address

6136 Warm River Rd
Las Vegas, NV 89108-1757

Phone

(702) 236-7529

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Adesuwa OsazuwaNPI 1508249624

Title

Ceo

Phone

(702) 236-7529

Specialties & licenses 1

Addresses

Practitioners 1

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

• Adesuwa Osazuwa

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1508249624
  NPD (past) Authorized official

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1194175745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 WARM RIVER RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081757",
            "telephone_number": "702-236-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 WARM RIVER RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081757",
            "telephone_number": "702-236-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH AND WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "OSAZUWA",
        "authorized_official_first_name": "ADESUWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-236-7529",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Jewell Eileen Divich
• Divine Care Services of Nevada
• Divine Careline Health LLC
• Divine Exxpectations Comfort Homes
• Divine Family Assistance of Nevada
• Divine Health Products
• Divine Healthcare Solutions LLC
• Divine Hospice LLC
• Divine Instructions Behavioral Health Services, LLC
• Divine Mercy Health Services LLC

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.