Divine Serenity

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LC001484592 Issued in MO

Legal business name

DIVINE SERENITY

Practice address

4607 Steinlage Dr
Saint Louis, MO 63115-2510

Phone

(314) 667-9125

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Samar Mechele Roberson

Title

Owner

Phone

(314) 667-9125

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1407218720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 STEINLAGE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152510",
            "telephone_number": "314-667-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 STEINLAGE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152510",
            "telephone_number": "314-667-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_middle_name": "MECHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-667-9125"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC001484592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Home Care Solutions LLC
• Divine Love & Wisdom Home Health Services LLC
• Divine Love Home Healthcare LLC
• Divine Purpose Adult Daycare LLC
• Divine Purpose Home Health Service LLC
• Divinely Devoted Healthcare LLC
• Divinity Home Healthcare Services
• Devon Marie Divito, MD
• Abhinav Diwan, MD
• Cheshil P Dixit, MD

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.