Organization Active NPI

Divine Companion Care LLC

  • Exclusive Provider Organization
  • Syracuse, NY
National Provider Identifier
1356700231
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
DIVINE COMPANION CARE LLC
Practice address
761 N Salina St
Syracuse, NY 13208-2510
Phone
(315) 424-3700
NPI assigned
Feb 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Beatrice Dankwah
Title
President
Phone
(646) 225-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

761 N Salina St
Syracuse, NY 13208-2510

Mailing address

761 N Salina St
Syracuse, NY 13208-2510
Phone (315) 424-3700

National Provider Directory

National Provider Directory

Locations

761 N Salina St
Syracuse, NY 13208
Phone (315) 424-3700

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1356700231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082510",
            "telephone_number": "315-424-3700",
            "fax_number": "315-410-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082510",
            "telephone_number": "315-424-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE COMPANION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "DANKWAH",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-225-1114"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.