Organization Active NPI

Dvine Healthcare Inc

  • In Home Supportive Care Agency
  • Towson, MD
National Provider Identifier
1477347417
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DVINE HEALTHCARE INC
Practice address
21 Treeway CT Apt 2C
Towson, MD 21286-3489
Phone
(443) 431-0618
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Authorized official

Name
Mr. Jephthah AsimoleNPI 1669266698
Title
Director
Phone
(443) 431-0618

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

21 Treeway CT Apt 2C
Towson, MD 21286-3489

Mailing address

801 E Pulaski Hwy Ste 143
Elkton, MD 21921-6671
Phone (443) 431-0618

Other practice location 1

100 West Rd Ste 300
Towson, MD 21204-2370
Phone (443) 431-0618

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.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744416000000",
    "number": "1477347417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E PULASKI HWY STE 143",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216671",
            "telephone_number": "443-431-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TREEWAY CT APT 2C",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863489",
            "telephone_number": "443-431-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 West Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042370",
            "country_code": "US",
            "telephone_number": "443-431-0618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DVINE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A",
        "authorized_official_last_name": "ASIMOLE",
        "authorized_official_first_name": "JEPHTHAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-431-0618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.