Divine Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE HOME HEALTH CARE INC

Practice address

4555 NE 66TH Ave
Vancouver, WA 98661-3181

Phone

(360) 314-2561

Fax

(360) 314-2943

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Marlene Debra Jones, RNNPI 1598216129

Title

Owner/Partner

Phone

(360) 747-7716

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Marlene D Jones, RN

  • Registered Nurse
  • Longview, WA
  • NPI 1598216129
  NPD Authorized official

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1407366685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 20TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322222",
            "telephone_number": "360-747-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 NE 66TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613181",
            "telephone_number": "360-314-2561",
            "fax_number": "360-314-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "360-747-7716",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Dishongh, MA, LMHC, SUDP
• Brielle Nicole Disney
• Jennifer Dian Distefano, LMHC
• Katherine Distefano IV
• Joyelle K Divall Rayan, MS CCCSLP
• Divinity Adult Family Home, LLC
• Brittany Nichole Faith Dixon, QMHP-C
• James Dixon
• Joshua Dane Dixon, RN, BSN
• Gabriella Patricia Dixson, BA

• Home Health Agency in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.