NPIMap

Organization Active NPI

Divine Team Homecare LLC

  • In Home Supportive Care Agency
  • Kennesaw, GA
National Provider Identifier
1407318868
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVINE TEAM HOMECARE LLC
Practice address
1895 Barrett Knoll CT NW
Kennesaw, GA 30152-8228
Phone
(678) 687-6141
Fax
(678) 398-7301
NPI assigned
Apr 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Blessing Anyaiwe Onyekachi, RNNPI 1669021036
Title
Administrator
Phone
(678) 687-6141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1895 Barrett Knoll CT NW
Kennesaw, GA 30152-8228

Mailing address

1895 Barrett Knoll CT NW
Kennesaw, GA 30152-8228
Phone (678) 687-6141

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1407318868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 BARRETT KNOLL CT NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528228",
            "telephone_number": "678-687-6141",
            "fax_number": "678-398-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 BARRETT KNOLL CT NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528228",
            "telephone_number": "678-687-6141",
            "fax_number": "678-398-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TEAM HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "ONYEKACHI",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_middle_name": "ANYAIWE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-687-6141",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.