Divine Home & Health Support LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

DIVINE HOME & HEALTH SUPPORT LLC

Practice address

30610 Woodstock St
Southfield, MI 48076-1260

Phone

(313) 915-1768

NPI assigned

Mar 10, 2026

Organization subpart

No

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

Authorized official

Name

Jasmine KellumNPI 1710849906

Title

Home Health-RN

Phone

(313) 915-1768

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jasmine Kellum

  • Home Health Registered Nurse
  • Southfield, MI
  • NPI 1710849906
  NPD Authorized official

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1477409472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30610 WOODSTOCK ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30610 WOODSTOCK ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761260",
            "telephone_number": "313-915-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOME & HEALTH SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "KELLUM",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "HOME HEALTH-RN",
        "authorized_official_telephone_number": "313-915-1768"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversified Health Care Management Consultants, Inc
• Diversified Home Health Care Inc
• Divi MD PC
• Thulasi S Divi, MD
• Divine Expressions Homecare LLC
• Divine Home Care of Michigan
• Divine Homecare Agency LLC
• Divine Mercy Transportation
• Divine Transit LLC
• Pamila Diwan, MD

• Home Health Registered Nurse in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.