Organization Active NPI

Divine Investment LLC

Doing business as Divine Transportation Services

  • Non-emergency Medical Transport (VAN)
  • Euclid, OH
National Provider Identifier
1427458983
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
189435 Issued in OH
Legal business name
DIVINE INVESTMENT LLC
Doing business as
Divine Transportation Services
Practice address
329 Halle Dr
Euclid, OH 44132-1023
Phone
(216) 520-6024
Fax
(216) 255-6633
NPI assigned
Sep 2, 2014
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Mr. Rush Godspower-Odiong, LPNNPI 1740551290
Title
Manager
Phone
(216) 526-6024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 189435 OH Primary

Addresses

Primary practice location

329 Halle Dr
Euclid, OH 44132-1023

Mailing address

329 Halle Dr
Euclid, OH 44132-1023
Phone (216) 520-6024

Other identifiers 1

IdentifierTypeStateIssuer
0090624MedicaidOH

Other names 1

  • DIVINE TRANSPORTATION SERVICES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1427458983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 HALLE DR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441321023",
            "telephone_number": "216-520-6024",
            "fax_number": "216-255-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 HALLE DR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441321023",
            "telephone_number": "216-520-6024",
            "fax_number": "216-255-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INVESTMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "GODSPOWER-ODIONG",
        "authorized_official_first_name": "RUSH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "216-526-6024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "189435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090624",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE TRANSPORTATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.