Divine Connection LLC.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

DIVINE CONNECTION LLC.

Practice address

1205 S Scott Ave
Sanford, FL 32771-2253

Phone

(407) 936-4408

Fax

(407) 630-8798

NPI assigned

Aug 28, 2014

Last updated

Aug 28, 2014By 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

Ms. Kimmesha C Troutman

Title

Owner

Phone

(407) 936-4408

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1295135002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S SCOTT AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712253",
            "telephone_number": "407-936-4408",
            "fax_number": "407-360-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S SCOTT AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712253",
            "telephone_number": "407-936-4408",
            "fax_number": "407-630-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CONNECTION LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "TROUTMAN",
        "authorized_official_first_name": "KIMMESHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-936-4408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri Pamela Diaz Castro, SI 5871
• Nathalia Dibenardo, LMHC
• Breha Julie Diggs, DO
• Edward Dimauro II
• Distinctive Dentistry of Sanford
• Amyris Dixon
• Erika M. Dodd, LMFT
• Vymarys J Dominguez, O.D.
• Jennifer Donnan
• Robyn Dowdy, PHARMD

• Developmentally Disabled Services Day Training Agency in Sanford, FL
• Providers in Sanford, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.