Divine Homes Healthcare Services

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

DIVINE HOMES HEALTHCARE SERVICES

Practice address

15103 Roving Wood Dr
Bowie, MD 20715-3373

Phone

(240) 696-9303

NPI assigned

Dec 19, 2024

Last updated

Dec 19, 2024By 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

Idowu Olateju

Title

Ceo

Phone

(240) 696-9303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1437967767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15103 ROVING WOOD DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15103 ROVING WOOD DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153373",
            "telephone_number": "240-696-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOMES HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "OLATEJU",
        "authorized_official_first_name": "IDOWU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-696-9303"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Caregivers, LLC
• Divine Grace Limited Liability Company
• Divine Hands Inc.
• Divine Home Health and Agency
• Divine Homes Healthcare Services
• Divine Touch Healing Medical Associates, LLC
• Divinemercy Home Health Services, LLC
• Alanah Dixon, LMT, CMMT
• Natasha Dixon
• Venise Dixon

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bowie, MD
• Providers in Bowie, MD by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.