Divine Haven Home Care, LL C

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE HAVEN HOME CARE, LL C

Practice address

2020 Riverside Dr Ste C
Danville, VA 24540-4350

Phone

(434) 770-0693

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Patricia GuyNPI 1750931804

Title

Owner/Administrator

Phone

(434) 857-2808

Specialties & licenses 2

Addresses

Locations

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.

• Patricia Guy

  • In Home Supportive Care Agency
  • Danville, VA
  • NPI 1750931804
  NPD (past) Authorized official

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1255892311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 RIVERSIDE DR STE C",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404350",
            "telephone_number": "434-857-2808",
            "fax_number": "434-857-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 RIVERSIDE DR STE C",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404350",
            "telephone_number": "434-770-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HAVEN HOME CARE, LL C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "434-857-2808"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Dietz
• Jennifer Dietz, RD, CDE, LDN, MSPH
• Digestive Care PC
• Charles Dillard, RBT
• Shadrickah R Dillard, MSW
• Divine Holdings LLC (Acb Med Transportation)
• David James Divine, PT, DPT
• Kate Allyn Divine, PT,DPT
• Ashleigh Dixon, FNP-C
• DM Radiology LLC

• In Home Supportive Care Agency in Danville, VA
• Providers in Danville, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.