NPIMap

Organization Active NPI

Divine Loving Angels Affordable Caregivers, LLC

  • In Home Supportive Care Agency
  • Bartlett, TN
National Provider Identifier
1275140691
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE LOVING ANGELS AFFORDABLE CAREGIVERS, LLC
Practice address
8202 Rockbridge Rd
Bartlett, TN 38002-4768
Phone
(901) 606-1784
Fax
(901) 443-5090
NPI assigned
Sep 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Cassandra MillerNPI 1871134361
Title
Owner
Phone
(901) 606-1784

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8202 Rockbridge Rd
Bartlett, TN 38002-4768

Mailing address

PO Box 812
Ellendale, TN 38029-0812
Phone (901) 606-1784

Other names 1

  • Divine Loving Angels, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mycomputer

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1275140691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "ELLENDALE",
            "state": "TN",
            "postal_code": "380290812",
            "telephone_number": "901-606-1784",
            "fax_number": "901-443-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 ROCKBRIDGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "380024768",
            "telephone_number": "901-606-1784",
            "fax_number": "901-443-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE LOVING ANGELS AFFORDABLE CAREGIVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-606-1784"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mycomputer",
            "affiliation": "N",
            "address_1": "8202 Rockbridge Rd",
            "city": "Bartlett",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380024768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Divine Loving Angels, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.