Organization Active NPI

Divinity Healthcare Services, Inc.

Doing business as Divinity Home Healthcare

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1477717569
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINITY HEALTHCARE SERVICES, INC.
Doing business as
Divinity Home Healthcare
Practice address
6553 E Baywood Ave Ste B105
Mesa, AZ 85206-1752
Phone
(480) 777-5897
Fax
(480) 777-5896
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. John-Marc Stegmeier
Title
Secretary
Phone
(480) 244-7472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6553 E Baywood Ave Ste B105
Mesa, AZ 85206-1752

Mailing address

6553 E Baywood Ave Ste B105
Mesa, AZ 85206-1752
Phone (480) 777-5897

Other names 1

  • Divinity Home Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

6553 E Baywood Ave
Ste B105
Mesa, AZ 85206
Phone (480) 777-5897

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1477717569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE B105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061752",
            "telephone_number": "480-777-5897",
            "fax_number": "480-777-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 E BAYWOOD AVE STE B105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061752",
            "telephone_number": "480-777-5897",
            "fax_number": "480-777-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINITY HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "STEGMEIER",
        "authorized_official_first_name": "JOHN-MARC",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "480-244-7472",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divinity Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.