Active NPI
Divinely Purposed Care LLC
- Home Health Agency
- Orlando, FL
National Provider Identifier
1245008739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DIVINELY PURPOSED CARE LLC
- Practice address
- 255 S Orange Ave Ste 104
Orlando, FL 32801-3411 - Phone
- (407) 283-9855
- NPI assigned
- Dec 14, 2023
- 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
- Mr. Darris Anton Vickers II
- Title
- Owner/Operator
- Phone
- (407) 283-9855
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
255 S Orange Ave Ste 104
Orlando, FL 32801-3411
Mailing address
831 Oakley Seaver Dr Apt 410
Clermont, FL 34711-1990
Phone (407) 283-9855
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702512000000",
"number": "1245008739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 OAKLEY SEAVER DR APT 410",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111990",
"telephone_number": "407-283-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S ORANGE AVE STE 104",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013411",
"telephone_number": "407-283-9855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINELY PURPOSED CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-09",
"status": "A",
"authorized_official_last_name": "VICKERS",
"authorized_official_first_name": "DARRIS",
"authorized_official_middle_name": "ANTON",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "407-283-9855",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.