Divine Care at Home

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

DIVINE CARE AT HOME

Doing business as

Divine Care at Home

Practice address

221 Saint James Ave Ste 13a
Goose Creek, SC 29445-3270

Phone

(843) 793-2588

Fax

(843) 407-3036

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Dana SimmonsNPI 1972221570

Title

Owner

Phone

(843) 793-2588

Specialties & licenses 1

Addresses

Other names 1

• Divine Care at Home Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Simmons

  • Nurse's Aide
  • Goose Creek, SC
  • NPI 1972221570
  NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1326769639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SAINT JAMES AVE STE 13A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453270",
            "telephone_number": "843-793-2588",
            "fax_number": "843-407-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SAINT JAMES AVE STE 13A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453270",
            "telephone_number": "843-793-2588",
            "fax_number": "843-407-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-793-2588"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "divinecareathome@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "221 Saint James Ave Ste 13A",
            "city": "Goose Creek",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294453270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Divine Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julianna Marie Detrane, PA-C
• Developing Abilities Children's Therapy Services
• Shaneen Dials-Corujo, MA, LPC
• Dialysis Clinic Inc.
• Andrea Diaz de Leon Gonzalez
• Leah Jones Dixon, MS, LPCA
• Doctors Plus
• Debbie Rose Dove-Kidd, DC
• Dr. Keith B. Flynn DMD PA
• Dream Partners (Coastal DBT)

• Home Health Aide in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.