Divine Care Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE CARE INC.

Practice address

12401 Brickyard Blvd Apt 1108
Beltsville, MD 20705-1356

Phone

(609) 634-2093

Fax

(609) 634-2093

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Paul Nwoga

Title

Executive Director

Phone

(609) 634-2093

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1326546508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MULBERRY ST",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811600",
            "telephone_number": "609-634-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 BRICKYARD BLVD APT 1108",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051356",
            "telephone_number": "609-634-2093",
            "fax_number": "609-634-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "NWOGA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-634-2093"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6096342093",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aminatou Diallo
• Elisabeth Dickman
• Camilia Rochelle Dillard
• Caroline Dineen
• Emmanuella Bih Dinga
• Divine Home Community Services Inc
• Divine Mercy High Quality Nursing Agency Inc
• Arnette Djuidje
• DMV Rapid Medical Supplies
• Michea Alyse Dobson

• In Home Supportive Care Agency in Beltsville, MD
• Providers in Beltsville, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.