Divinely Chosen Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINELY CHOSEN SERVICES

Practice address

797 Teague TRL Apt 13207
Lady Lake, FL 32159-3152

Phone

(352) 602-5541

NPI assigned

Feb 14, 2018

Last updated

Feb 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keondra BurchNPI 1578075180

Title

Owner

Phone

(352) 602-5541

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keondra V Burch

  • In Home Supportive Care Agency
  • Lady Lake, FL
  • NPI 1578075180
  NPD Authorized official

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1417457607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 TEAGUE TRL APT 13207",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593152",
            "telephone_number": "352-602-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 TEAGUE TRL APT 13207",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593152",
            "telephone_number": "352-602-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINELY CHOSEN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "KEONDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-602-5541"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Diaz-Vazquez, APRN
• Mark Alexander Dimitriu, DDS
• Artemio Dinal
• Jomar Fiel Dioso, RPT, CLT
• Devin D Discala, ARNP
• Amanda Lyn Donaldson
• Michael Scott Donnelly, PT, DPT
• Robert Francis Dorsey, M.D.
• Wendy H Doskocz, SLP
• Dr. James a. Scott D.C., Inc.

• In Home Supportive Care Agency in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.