Divine Holistic Care Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DIVINE HOLISTIC CARE INC

Practice address

13532 1/2 Chadron Ave
Hawthorne, CA 90250-7822

Phone

(424) 200-9015

Fax

(855) 214-7520

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henrietha Iwobi, NPNPI 1629703608

Title

Owner

Phone

(424) 200-9015

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, and the practitioner matching its NPPES authorized official.

• Henrietha Ugochi Iwobi

  • Psychiatric/Mental Health Nurse Practitioner
  • Hawthorne, CA
  • NPI 1629703608
  NPD Authorized official

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1225815921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13532 1/2 CHADRON AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507822",
            "telephone_number": "424-200-9015",
            "fax_number": "855-214-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13532 1/2 CHADRON AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507822",
            "telephone_number": "424-200-9015",
            "fax_number": "855-214-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOLISTIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "IWOBI",
        "authorized_official_first_name": "HENRIETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-200-9015",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Harry Tan DO
• Karla Dominguez
• Dominick Salvatore Donato, MS OTR/L
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• Dr. Jamie a. Lipeles, a Professional Medical Corporation

• Psychiatric/Mental Health Nurse Practitioner in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.