Divinecare Residence Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINECARE RESIDENCE INC

Practice address

9470 Annapolis Rd Ste 101
Lanham, MD 20706-4048

Phone

(301) 830-8533

NPI assigned

Mar 3, 2021

Last updated

Mar 3, 2021By 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

Pascal Atemnkeng

Title

Ceo

Phone

(301) 830-8533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1285229112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064048",
            "telephone_number": "301-830-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 ANNAPOLIS RD STE 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064048",
            "telephone_number": "301-830-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINECARE RESIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "ATEMNKENG",
        "authorized_official_first_name": "PASCAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-830-8533"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Dixon
• Helen P Dixon
• Synthia Feupi Djialac

• Community/Behavioral Health Agency in Lanham, MD
• Providers in Lanham, MD by specialty
• Community/Behavioral Health Agency in Maryland

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