Active NPI
Loving & Divine Home Care LLC
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1255959078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LOVING & DIVINE HOME CARE LLC
- Practice address
- 5260 Castor Ave
Philadelphia, PA 19124-1723 - Phone
- (215) 302-0288
- NPI assigned
- Jul 8, 2020
- 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
- Yanick Nobrun, REGISTERED NURSE
- Title
- Executive Director
- Phone
- (267) 471-6613
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5260 Castor Ave
Philadelphia, PA 19124-1723
Mailing address
5260 Castor Ave
Philadelphia, PA 19124-1723
Phone (267) 471-6613
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1255959078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5260 CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191241723",
"telephone_number": "267-471-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5260 CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191241723",
"telephone_number": "215-302-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVING & DIVINE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A",
"authorized_official_last_name": "NOBRUN",
"authorized_official_first_name": "YANICK",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "267-471-6613",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.