NPIMap

Organization Active NPI

Divine Interventions Inc.

  • In Home Supportive Care Agency
  • South Bend, IN
National Provider Identifier
1205276706
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
13-013251 Issued in IN
Legal business name
DIVINE INTERVENTIONS INC.
Practice address
424 N Frances St
Unit 17
South Bend, IN 46617-2321
Phone
(574) 350-5292
Fax
(574) 522-9846
NPI assigned
Jun 28, 2013
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mrs. Nikita J Butler, BA
Title
President
Phone
(574) 350-5292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 3430456059 IN
In Home Supportive Care Agency 253Z00000X 13-013251 IN Primary

Addresses

Primary practice location

424 N Frances St
Unit 17
South Bend, IN 46617-2321

Mailing address

PO Box 1894
Elkhart, IN 46515-1894
Phone (574) 350-5292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1205276706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1894",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465151894",
            "telephone_number": "574-350-5292",
            "fax_number": "574-522-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N FRANCES ST",
            "address_2": "UNIT 17",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172321",
            "telephone_number": "574-350-5292",
            "fax_number": "574-522-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-350-5292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IN",
            "license": "3430456059",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "13-013251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.