Divine Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOME HEALTH CARE LLC

Practice address

146 Granville St Ste a
Gahanna, OH 43230-3074

Phone

(614) 269-7778

Fax

(614) 269-7892

NPI assigned

May 1, 2009

Last updated

Jul 9, 2020By 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

Mary W Mungai, MBA, BSN/RN

Title

Manager

Phone

(614) 432-6620

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336383561. Details of each certification follow.

• CCN 368298 Home health agency · Active · Details

Home health agency certification: CCN 368298

Legal name

DIVINE HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 7, 2010

Last certification

Apr 19, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

146 Granville St
Ste a
Gahanna, OH 43230-3074

Listed as

Divine Home Health Care LLCCCN 368298 · All quality measures

Ownership

Proprietary

Certified

Apr 7, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary W Muchene, RN, BSN

  • Home Health Agency
  • Gilbert, AZ
  • NPI 1164648663
  NPD

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1336383561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 GRANVILLE ST STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 GRANVILLE ST STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303074",
            "telephone_number": "614-269-7778",
            "fax_number": "614-269-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "MUNGAI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-432-6620",
        "authorized_official_credential": "MBA, BSN/RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3046199",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Christine Dillon, FNP
• Kade Neal Dillon, COTA
• Tara Dillon
• Patrick Joseph Dineen, MD
• Diseases of the Ears, Nose and Throat, Inc
• Kay Frances Dixon-Bell, PMHNP-BC
• Cameron Djukic, DPT
• Patricia L Dodge, CNM
• Mortimer Dolman, M.D.
• Lorna F Donovan, M.D.

• Home Health Agency in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.