Organization Active NPI

Divine Quality Care,LLC

  • Home Health Agency
  • Homestead, FL
National Provider Identifier
1487058921
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DIVINE QUALITY CARE,LLC
Practice address
13920 SW 268TH St
104
Homestead, FL 33032-9206
Phone
(786) 286-2650
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Mrs. Venishia Jordan
Title
Owner
Phone
(786) 286-2650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13920 SW 268TH St
104
Homestead, FL 33032-9206

Mailing address

PO Box 343355
Homestead, FL 33034-0355
Phone (786) 286-2650

Other identifiers 1

IdentifierTypeStateIssuer
010736900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1487058921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343355",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330340355",
            "telephone_number": "786-286-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 SW 268TH ST",
            "address_2": "104",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330329206",
            "telephone_number": "786-286-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE QUALITY CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "VENISHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-286-2650",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010736900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.