Divine Breath Home Care Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

29553601 Issued in PA

Legal business name

DIVINE BREATH HOME CARE CENTER

Practice address

1444 Windrim Ave
Philadelphia, PA 19141-2238

Phone

(215) 687-5404

Fax

(267) 331-5660

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Michelet Polection

Title

Program Director

Phone

(215) 687-5404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1336501592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 WINDRIM AVENUE",
            "city": "PHILADLEPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-687-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 WINDRIM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412238",
            "telephone_number": "215-687-5404",
            "fax_number": "267-331-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE BREATH HOME CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "POLECTION",
        "authorized_official_first_name": "MICHELET",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "215-687-5404"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "29553601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversified Home & Community Services LLC
• Diversified Psychological Resources, P.C.
• Diversified Supportive Services
• Diversified Supportive Services LLC
• Christie Lee Diveterano, CRNP
• Divine Comfort Home Health LLC
• Divine Connections Agency LLC
• Divine Connections Home Care Agency (None)
• Divine Gifted Hands Home Care LLC.
• Divine Hands of Destiny Home Care

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.