Georgia'S Divine Home Care LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

GEORGIA'S DIVINE HOME CARE LLC

Practice address

2883 Baskin St
Memphis, TN 38127-7705

Phone

(901) 495-3857

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Matilda SmithNPI 1073255816

Title

Owner

Phone

(901) 495-3857

Specialties & licenses 4

Addresses

Practitioners 1

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

• Matilda Smith

  • Personal Care Attendant
  • Memphis, TN
  • NPI 1073255816
  NPD Authorized official

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1356084891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 BASKIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381277705",
            "telephone_number": "901-495-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 BASKIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381277705",
            "telephone_number": "901-495-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA'S DIVINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-495-3857"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Michelle George, PHARM.D.
• Haydy George, MD
• Jennifer George, LMSW
• Lekha K George, MD
• Lloyd A George, D.D.S.
• Therese Geraci
• Brittany Gerald
• Geriatric and Hospice Associates of the Mid South PLLC
• Geriatric Group of Memphis,PLLC
• Geriatric Partners, LLC

• Adult Companion in Memphis, TN
• Providers in Memphis, TN by specialty
• Adult Companion in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.