Organization Active NPI

Divine Medical Staffing Services LLC

  • Nursing Care Agency
  • Cottonwood, CA
National Provider Identifier
1407721772
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
DIVINE MEDICAL STAFFING SERVICES LLC
Practice address
22322 Rio Alto Dr
Cottonwood, CA 96022-7928
Phone
(530) 710-3897
NPI assigned
Oct 7, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Alyssa Nichelle Ricardo
Title
Ceo
Phone
(530) 710-3897

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

22322 Rio Alto Dr
Cottonwood, CA 96022-7928

Mailing address

22322 Rio Alto Dr
Cottonwood, CA 96022-7928
Phone (530) 710-3897

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1407721772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22322 RIO ALTO DR",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960227928",
            "telephone_number": "530-710-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22322 RIO ALTO DR",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960227928",
            "telephone_number": "530-710-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MEDICAL STAFFING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "RICARDO",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-710-3897"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.