Divine Healing Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

384593 Issued in MN

Legal business name

DIVINE HEALING HOME CARE, LLC

Practice address

7240 Brooklyn Blvd
Brooklyn Center, MN 55429-1274

Phone

(763) 566-1378

Fax

(763) 566-1379

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Joyce Nyaboke Mogeni, RN

Title

Administrator

Phone

(763) 566-1378

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1316449838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 BROOKLYN BLVD STE 230",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291278",
            "telephone_number": "763-566-1378",
            "fax_number": "763-566-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 BROOKLYN BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291274",
            "telephone_number": "763-566-1378",
            "fax_number": "763-566-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALING HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MOGENI",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "NYABOKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-566-1378",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "384593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE HOME CARE LICENSE",
            "identifier": "384593",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christia Dieter
• Grant Dietrich, LPCC, LADC
• Lache Dietz
• Sierra Dimmel
• Divine Hands Home Health Agency Inc
• Divine Home Care Services LLC
• Divine Legacy
• Thao DO, DDS
• Dominion Healthcare Services LLC
• Emma Jo Donley

• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.