Active NPI
Divine Care Services, LLC
- Adult Health Nurse Practitioner
- Frederick, MD
National Provider Identifier
1225613656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- DIVINE CARE SERVICES, LLC
- Practice address
- 174 Thomas Johnson Dr Ste 203L
Frederick, MD 21702-4423 - Phone
- (301) 966-7610
- Fax
- (301) 966-7611
- NPI assigned
- Mar 17, 2021
- Last updated
- Oct 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nkechi Ijeoma Ileka-Adeoye, MSN, CRNP, ANP-BC
- Title
- Owner / Ceo
- Phone
- (301) 966-7610
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
174 Thomas Johnson Dr Ste 203L
Frederick, MD 21702-4423
Mailing address
2052 Chamberlain Dr
Frederick, MD 21702-3586
Phone (301) 966-7610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
174 Thomas Johnson Dr
Ste 203L
Frederick, MD 21702
Phone (240) 696-7048
Interoperability endpoints
- https://api.platform.athenahealth.com/26131/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Frederick, MD
- NPI 1285974451
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793318400000",
"number": "1225613656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2052 CHAMBERLAIN DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217023586",
"telephone_number": "301-966-7610",
"fax_number": "301-966-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 THOMAS JOHNSON DR STE 203L",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024423",
"telephone_number": "301-966-7610",
"fax_number": "301-966-7611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-17",
"last_updated": "2026-10-30",
"certification_date": "2026-10-30",
"status": "A",
"authorized_official_last_name": "ILEKA-ADEOYE",
"authorized_official_first_name": "NKECHI",
"authorized_official_middle_name": "IJEOMA",
"authorized_official_title_or_position": "OWNER / CEO",
"authorized_official_telephone_number": "301-966-7610",
"authorized_official_credential": "MSN, CRNP, ANP-BC"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.