Organization Active NPI

Divine Care Home Health, Inc.

  • Home Health Agency
  • Oklahoma City, OK
National Provider Identifier
1245481506
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7890 Issued in OK
Legal business name
DIVINE CARE HOME HEALTH, INC.
Practice address
6801 S Western Ave Ste 200
Oklahoma City, OK 73139-1816
Phone
(405) 635-9990
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Ms. Blessing Nwoha, RN
Title
Administrator/Owner
Phone
(405) 635-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7890 OK Primary

Addresses

Primary practice location

6801 S Western Ave Ste 200
Oklahoma City, OK 73139-1816

Mailing address

6801 S Western Ave Ste 200
Oklahoma City, OK 73139-1816
Phone (405) 635-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090402000416 OK Part A Provider - Home Health Agency 9436206737 Practice locations: Oklahoma, OK

Home health agency certification: CCN 377739

Legal name
DIVINE CARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 2, 2010
Last certification
Sep 16, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 26, 2007 in OK
Enrollment address
6801 S Western Ave
Ste 200
Oklahoma, OK 73139-1816

Care Compare: Home health agency

Medicare Care Compare
Listed as
Divine Care Home Health IncCCN 377739
Ownership
Proprietary
Certified
Mar 2, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

4045 NW 64th St
Ste 200
Oklahoma City, OK 73116
Phone (405) 842-4500

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larry Coffman Individual Corporate Director Jan 30, 2009
Blessing Nwoha Individual W-2 Managing Employee Jan 30, 2009
Christine Adaeze Nwoha Individual 5% Or Greater Direct Ownership Interest Jan 30, 2009

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1245481506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 S WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391816",
            "telephone_number": "405-635-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 S WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391816",
            "telephone_number": "405-635-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "NWOHA",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "405-635-9990",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.