Organization Active NPI

Divine Medical Equipment Supply Company

Doing business as Divine Home Care Services

  • Nursing Care Agency
  • Calumet City, IL
National Provider Identifier
1427426378
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
4000478 Issued in IL
Legal business name
DIVINE MEDICAL EQUIPMENT SUPPLY COMPANY
Doing business as
Divine Home Care Services
Practice address
1461 Ring Rd
Calumet City, IL 60409-5459
Phone
(708) 321-8218
Fax
(708) 321-8219
NPI assigned
Sep 9, 2015
Organization subpart
Yes
Parent organization
DIVINE MEDICAL EQUIPMENT SUPPLY COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Debo Olaniyan
Title
President
Phone
(708) 321-8218

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X 4000478 IL Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1461 Ring Rd
Calumet City, IL 60409-5459

Mailing address

15475 S Park Ave Ste 110
South Holland, IL 60473-1378
Phone (708) 321-8218

Other names 1

  • DIVINE HOME CARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Divine Medical Equipment Supply Company4 organizations share this tax ID, including this one
Part of
Divine Medical Equipment Supply Company

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1427426378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15475 S PARK AVE STE 110",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731378",
            "telephone_number": "708-321-8218",
            "fax_number": "708-321-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 RING RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095459",
            "telephone_number": "708-321-8218",
            "fax_number": "708-321-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MEDICAL EQUIPMENT SUPPLY COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE MEDICAL EQUIPMENT SUPPLY COMPANY",
        "enumeration_date": "2015-09-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "OLANIYAN",
        "authorized_official_first_name": "DEBO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-321-8218"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000478",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DIVINE HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.