Divine Health LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DIVINE HEALTH LLC

Practice address

8507 Oxon Hill Rd Ste 200-S50
Fort Washington, MD 20744-4766

Phone

(240) 581-0125

NPI assigned

Oct 20, 2025

Organization subpart

No

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

Authorized official

Name

Freda Ansah Larbi

Title

Provider

Phone

(240) 581-0125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Freda Ansah-Larbi, DNP

  • Family Nurse Practitioner
  • Oxon Hill, MD
  • NPI 1013452101

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1477420966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 OXON HILL RD STE 200-S50",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444766",
            "telephone_number": "240-581-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 OXON HILL RD STE 200-S50",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444766",
            "telephone_number": "240-581-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "LARBI",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "ANSAH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-581-0125"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.