Divine Ventures LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in MA

Legal business name

DIVINE VENTURES LLC

Doing business as

Divine Mercy Home Health Supplies

Practice address

5 Main St
Brockton, MA 02301-4026

Phone

(508) 584-2855

Fax

(508) 584-2866

NPI assigned

Jun 7, 2006

Last updated

Jul 21, 2022By 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

Mrs. Debbie Omowunmi Sorinmade, BSBA

Title

President

Phone

(617) 680-7614

Specialties & licenses 1

Addresses

Other names 1

• DIVINE MERCY HOME HEALTH SUPPLIES Doing business as

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437199619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014026",
            "telephone_number": "508-584-2855",
            "fax_number": "508-584-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014026",
            "telephone_number": "508-584-2855",
            "fax_number": "508-584-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SORINMADE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "OMOWUNMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-680-7614",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE MERCY HOME HEALTH SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Dispoto
• Walter Dittel, MD
• Susan Diver, RPT
• Rebecca Divers
• Divine Care Health and Wellness LLC
• Aashvi Dixit
• Cawin Dixon
• Deborah J Dixon
• Malcolm Malik Dixon
• Luz Evangeline Salud Dizon, M.D.

• Durable Medical Equipment & Medical Supplies in Brockton, MA
• Providers in Brockton, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.