Organization Active NPI

Om Divine Haven Inc

  • Community/Behavioral Health Agency
  • Cutler Bay, FL
National Provider Identifier
1215481783
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OM DIVINE HAVEN INC
Practice address
8772 SW 212TH Ter
Cutler Bay, FL 33189-3879
Phone
(305) 970-8671
NPI assigned
Aug 12, 2016
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Ms. Eulalia Maria Jimenez-Hincapie
Title
Owner
Phone
(305) 970-8671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8772 SW 212TH Ter
Cutler Bay, FL 33189-3879

Mailing address

8772 SW 212TH Ter
Cutler Bay, FL 33189-3879
Phone (305) 970-8671

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1215481783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8772 SW 212TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893879",
            "telephone_number": "305-970-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8772 SW 212TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893879",
            "telephone_number": "305-970-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM DIVINE HAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-HINCAPIE",
        "authorized_official_first_name": "EULALIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-970-8671",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.