Active NPI
Divine Care Home Health, Inc.
- Home Health Agency
- Oklahoma City, OK
National Provider Identifier
1245481506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7890
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Mar 2, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Larry Coffman | Corporate Director | Jan 30, 2009 | |
| Blessing Nwoha | W-2 Managing Employee | Jan 30, 2009 | |
| Christine Adaeze Nwoha | 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.
-
- Hospitalist Physician
- Houston, TX
- NPI 1083058515
5% Or Greater Direct Ownership Interest
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.