Divine Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIVINE HOMECARE LLC

Practice address

4991 E McKinley Ave Ste 117
Fresno, CA 93727-1966

Phone

(559) 403-3337

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Jonita PerryNPI 1942683156

Title

Owner/President/Administrator

Phone

(559) 403-3337

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonita Syvell Perry

  • Case Manager/Care Coordinator
  • Madera, CA
  • NPI 1942683156
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1437829231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 E MCKINLEY AVE STE 117",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271966",
            "telephone_number": "559-403-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 E MCKINLEY AVE STE 117",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271966",
            "telephone_number": "559-403-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JONITA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "559-403-3337"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discovery Practice Management, Inc.
• Wathma Nethmini Rupasinghe Dissanayake Mudiyanselage
• Adetokunbo Diane Disu
• Cynthia Fortunato Ditona, M.P.T.
• Bonnie Elaine Ditzler, LVN
• Divine Medical Wellness Center Inc
• Bridget Dixon
• Deaona Lashea Dixon
• Elicha Gale Dixon, LVN
• William Coy Dixon, PA

• In Home Supportive Care Agency in Fresno, CA
• Providers in Fresno, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.