NPIMap

Organization Active NPI

Divine Home Health, LLC

  • Home Health Aide
  • Indianapolis, IN
National Provider Identifier
1356811210
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
DIVINE HOME HEALTH, LLC
Practice address
4028 Village Trace Blvd
Indianapolis, IN 46254-6218
Phone
(317) 918-7545
Fax
(317) 291-4351
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Emmanuel Chike Okeke, DIRECTOR
Title
President
Phone
(317) 918-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

4028 Village Trace Blvd
Indianapolis, IN 46254-6218

Mailing address

PO Box 532491
Indianapolis, IN 46253-2491
Phone (317) 918-7545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1356811210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532491",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462532491",
            "telephone_number": "317-918-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 VILLAGE TRACE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546218",
            "telephone_number": "317-918-7545",
            "fax_number": "317-291-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "CHIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-918-7545",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.