Organization Active NPI

Divine Home Health, LLC

  • Respite Care
  • Indianapolis, IN
National Provider Identifier
1285104679
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
DIVINE HOME HEALTH, LLC
Practice address
4028 Village Trace Blvd
Indianapolis, IN 46254-6218
Phone
(317) 918-7545
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Emmanuel Chike Okeke, DIRECTOR
Title
President
Phone
(317) 918-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

4028 Village Trace Blvd
Indianapolis, IN 46254-6218

Mailing address

PO Box 532491
Indianapolis, IN 46253-2491

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1285104679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532491",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462532491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 VILLAGE TRACE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546218",
            "telephone_number": "317-918-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "CHIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-918-7545",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.