Divine Solar LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DIVINE SOLAR LLC

Practice address

10505 Providence Dr Unit 106
Johnston, IA 50131-4738

Phone

(972) 515-0342

NPI assigned

Mar 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Chika Anthony UdechukwuNPI 1831692698

Title

Ceo

Phone

(972) 515-0342

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.

• Chika Anthony Udechukwu

  • Vehicle Modifications Contractor
  • Johnston, IA
  • NPI 1831692698
  NPD (past) Authorized official

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521331200000",
    "number": "1205339017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 TOULOUSE ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640126101",
            "telephone_number": "972-515-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 PROVIDENCE DR UNIT 106",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314738",
            "telephone_number": "972-515-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SOLAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A",
        "authorized_official_last_name": "UDECHUKWU",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-515-0342",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Johnston, IA
• Providers in Johnston, IA by specialty
• Non-emergency Medical Transport (VAN) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.