Organization Active NPI

Devine Companions & Medical Billing

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Winter Park, FL
National Provider Identifier
1417429663
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DEVINE COMPANIONS & MEDICAL BILLING
Practice address
2431 Aloma Ave # 124
Winter Park, FL 32792-2541
Phone
(407) 544-9912
Fax
(407) 574-7934
NPI assigned
Dec 28, 2018
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Mrs. Nerrica N Devine
Title
Ceo
Phone
(407) 544-9912

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2431 Aloma Ave # 124
Winter Park, FL 32792-2541

Mailing address

2431 Aloma Ave Ste 158
Winter Park, FL 32792-2541
Phone (407) 544-9912

Other identifiers 2

IdentifierTypeStateIssuer
024463400MedicaidFL
102594600MedicaidFL

Other names 1

  • A Devine Companion Inc Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nerrica@devinecmb.com

National Provider Directory

National Provider Directory

Locations

665 N US Highway 17
Unit 1917
Eagle Lake, FL 33839

2431 Aloma Ave
#124
Winter Park, FL 32792
Phone (407) 544-9912

2431 Aloma Ave
Ste 158
Winter Park, FL 32792

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1417429663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 ALOMA AVE STE 158",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922541",
            "telephone_number": "407-544-9912",
            "fax_number": "407-574-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 ALOMA AVE # 124",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922541",
            "telephone_number": "407-544-9912",
            "fax_number": "407-574-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE COMPANIONS & MEDICAL BILLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "NERRICA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-544-9912",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024463400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102594600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nerrica@devinecmb.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2431 Aloma Ave Ste 158",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327922541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "A Devine Companion Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "A Devine Companion Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.