Divine Alternative Personal Care Home

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

DIVINE ALTERNATIVE PERSONAL CARE HOME

Practice address

1728 Rice SQ
Lithonia, GA 30058-3257

Phone

(404) 981-4056

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

La Tanya Lester-Hayes

Title

Ceo

Phone

(404) 981-4056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1407114879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 RICE SQUARE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 RICE SQ",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583257",
            "telephone_number": "404-981-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ALTERNATIVE PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "LESTER-HAYES",
        "authorized_official_first_name": "LA TANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-981-4056"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Michelle Dewoody, P.A-C
• Kadijah Diallo
• Diamond's Healthcare Staffing LLC
• Synda Dickerson
• Digestive Healthcare PC
• Divinity Group Enterprises Inc
• Carol S Dixon
• Catherine Dixon
• Martin A Dixon, D.O.
• DJ Tiny Riderwheels

• Point of Service in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.