Eldivine Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ELDIVINE CARE LLC

Practice address

142 Midland PL
Newark, NJ 07106-3311

Phone

(973) 207-9886

Fax

(973) 416-2825

NPI assigned

Oct 31, 2017

Last updated

Oct 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Evangeline N. Ezike, RN

Title

Director

Phone

(973) 207-9886

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1275045155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MIDLAND PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063311",
            "telephone_number": "973-207-9886",
            "fax_number": "973-416-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MIDLAND PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063311",
            "telephone_number": "973-207-9886",
            "fax_number": "973-416-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDIVINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "EZIKE",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-207-9886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.