Divine Home and Adult Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

I000000007989 Issued in TN

Legal business name

DIVINE HOME AND ADULT CARE SERVICES LLC

Practice address

17 E Manning St
Suite a
Chattanooga, TN 37405-3998

Phone

(423) 785-3000

NPI assigned

Feb 3, 2011

Organization subpart

No

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

Authorized official

Name

Tracy E Gardner

Title

Managing Director

Phone

(770) 876-9882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1396041687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16125",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374160125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E MANNING ST",
            "address_2": "SUITE A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053998",
            "telephone_number": "423-785-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME AND ADULT CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "770-876-9882"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "I000000007989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah K Dixon
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• Ginger Jones Dizon, CRNA
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• Samantha Meghan Dmochowski, NP

• Home Health Agency in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.